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Wyoming Department of Revenue

Excise Tax Division

122 W. 25th Street, Herschler Bldg.

Cheyenne, Wyoming 82002-0110

NON-RESIDENT CONTRACTOR SALES AND USE TAX BOND

COVERING MULTIPLE CONTRACTS

BOND NO.___________

KNOW ALL MEN BY THESE PRESENTS, that we the undersigned, ______

_______________________________________(name and form of business organization

of the principal), as Principal, and _______________________________________(name

of surety), a corporation organized to do business in the State of Wyoming, as Surety, are

held and firmly bound unto the State of Wyoming in the sum of ___________________

Dollars ($___________), lawful money of the United States of America, for the payment

of which we bind ourselves, our legal representatives, successors and assigns, jointly and

severally, firmly by these presents.

WHEREAS, the above named Principal is a nonresident general or prime

contractor as defined by Wyo. Stat. § 39-16-301;

WHEREAS, pursuant to Wyo. Stat. § 39-16-306(b), the Principal has elected to

deposit with the Department of Revenue a surety bond in the amount one million dollars

($1,000,000.00) to secure the payment by the Principal of any sales and use tax, penalty,

and interest, which may accrue to the State of Wyoming in the performance of the above

referenced contract. Said taxes are imposed by the Selective Sales Tax Act of 1937, as

amended, and the Use Tax Act of 1937, as amended;

WHEREAS, by executing this instrument the Surety does hereby bind and

obligate itself unto the State of Wyoming to secure the payment by the Principal of any

and all sales and/or use taxes, penalty, and interest, which will accrue or which have

accrued since the commencement of operations by the Principal in the State of Wyoming.

The liability of the surety is on all sales and/or use tax, penalty, and interest accrued,

including taxes which predate the execution of this agreement; and

WHEREAS, this is a continuing bond; the principal shall maintain this bond until

the Principal is no longer required to file any bond or security under Wyo. Stat. § 39-16-

301 et seq., or until a bond or security is filed by the Principal under Wyo. Stat. § 39-16-

303(b)(iii).

NOW, THEREFORE, if the Principal timely pays to the State of Wyoming all

sales and use taxes which become due and payable under the above referenced contract

pursuant to the Selective Sales Tax Act of 1937, as amended, and the Use Tax Act of

1937, as amended;

THEN, this obligation shall terminate; otherwise it shall remain in force and

effect.

The Surety may terminate its liability hereunder at any time by giving written

notice to the Department of Revenue and to the Principal; but such termination shall only

become effective thirty (30) days after the actual receipt of the written notice by the

Department of Revenue, and shall not negate any liability incurred hereunder on or prior

to the date of such termination.

Any action upon this bond will be governed by Wyoming law.

The State will not approve this bond if any changes or alterations have been made

to the printed text or entries on any portion of this form.

Non-Resident Contractor Sales and Use Tax Bond

__________________, Principal, and _________________,Surety

Bond No.________________

Page 1 of 2

ETS Form 124 b (Rev 4/25/11)

Ets Form 124 B - Non-Resident Contractor Sales And Use Tax Bond Covering Multiple Contracts

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