Form WV/SEV-nrt-Bond 2 "Nonresident Timber Severance Tax Surety Bond" - West Virginia

What Is Form WV/SEV-nrt-Bond 2?

This is a legal form that was released by the West Virginia State Tax Department - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2016;
  • The latest edition provided by the West Virginia State Tax Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form WV/SEV-nrt-Bond 2 by clicking the link below or browse more documents and templates provided by the West Virginia State Tax Department.

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Download Form WV/SEV-nrt-Bond 2 "Nonresident Timber Severance Tax Surety Bond" - West Virginia

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West Virginia
West Virginia
WV/SEV-NRT-Bond 2
Rev. 5/2016
State
State Tax Department
Tax Department
NONRESIDENT TIMBER SEVERANCE TAX SURETY BOND
NONRESIDENT TIMBER SEVERANCE TAX SURETY BOND
BOND NUMBER
KNOW ALL MEN BY THESE PRESENTS:
(1)
That we,
As principal,
(2)
and
(3)
a firm and/or a corporation authorized to do business in the State of West Virginia, as Surety, are held and firmly bound
unto the State of West Virginia in the just and full sum of__________________________________________dollars
($_______________) to the payment whereof well and truly to make, we bind ourselves, our heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, the above bound Principal is a nonresident person within the meaning of Chapter 11, Article 13A, Section 16a,
of the Official Code of West Virginia of 1931, as amended, and whereas the Tax Commissioner of the State of West Virginia
has required the said Principal to deposit a bond, in accordance with the provisions of Chapter 11, Article 13A, Section
16a of the said Code of West Virginia;
NOW THEREFORE, if the said Principal shall in all respects fully comply with the provisions of Chapter 11, Article
13A, Section 16a of the said Code of West Virginia and the rules and regulations adopted and promulgated thereunder,
and shall account for and pay over all Timber Severance Taxes and penalties for which the said Principal shall be liable,
and shall protect and save harmless the State of West Virginia from any loss arising from the failure of the Principal to pay
such Timber Severance Taxes and penalties, for any cause whatsoever, then this obligation to be void; otherwise, to remain
in full force and effect.
The Principal hereby waives the secrecy provisions of West Virginia Code 11-10-5(d) and authorizes the Tax Department
to release to the surety company information necessary to file a proof of claim concerning any tax liability covered by this
bond and accruing during the effective dates of this bond.
(4)
This bond shall be effective from the _______________day of ____________________________, 20______________.
IN WITNESS WHEREOF the said principal has hereunder set his or its hand affixed his or its seal, and the said surety has
caused its corporate name to be signed hereto and its corporate seal to be hereunto affixed by its duly authorized officer
or agent and executed this
(5)
__________________day of __________________________, 20_______________.
(6)_______________________________________________________ (Seal)
Principal
(8)
(Principal)
Corporate Seal
(7) By:____________________________________________________ (Seal)
Title (Must be President or Vice-President)
(9)_____________________________________________________________
(11)
Surety
(Surety)
Corporate Seal
(10)By:_________________________________________________________
West Virginia
West Virginia
WV/SEV-NRT-Bond 2
Rev. 5/2016
State
State Tax Department
Tax Department
NONRESIDENT TIMBER SEVERANCE TAX SURETY BOND
NONRESIDENT TIMBER SEVERANCE TAX SURETY BOND
BOND NUMBER
KNOW ALL MEN BY THESE PRESENTS:
(1)
That we,
As principal,
(2)
and
(3)
a firm and/or a corporation authorized to do business in the State of West Virginia, as Surety, are held and firmly bound
unto the State of West Virginia in the just and full sum of__________________________________________dollars
($_______________) to the payment whereof well and truly to make, we bind ourselves, our heirs, executors,
administrators, successors, and assigns, jointly and severally, firmly by these presents.
WHEREAS, the above bound Principal is a nonresident person within the meaning of Chapter 11, Article 13A, Section 16a,
of the Official Code of West Virginia of 1931, as amended, and whereas the Tax Commissioner of the State of West Virginia
has required the said Principal to deposit a bond, in accordance with the provisions of Chapter 11, Article 13A, Section
16a of the said Code of West Virginia;
NOW THEREFORE, if the said Principal shall in all respects fully comply with the provisions of Chapter 11, Article
13A, Section 16a of the said Code of West Virginia and the rules and regulations adopted and promulgated thereunder,
and shall account for and pay over all Timber Severance Taxes and penalties for which the said Principal shall be liable,
and shall protect and save harmless the State of West Virginia from any loss arising from the failure of the Principal to pay
such Timber Severance Taxes and penalties, for any cause whatsoever, then this obligation to be void; otherwise, to remain
in full force and effect.
The Principal hereby waives the secrecy provisions of West Virginia Code 11-10-5(d) and authorizes the Tax Department
to release to the surety company information necessary to file a proof of claim concerning any tax liability covered by this
bond and accruing during the effective dates of this bond.
(4)
This bond shall be effective from the _______________day of ____________________________, 20______________.
IN WITNESS WHEREOF the said principal has hereunder set his or its hand affixed his or its seal, and the said surety has
caused its corporate name to be signed hereto and its corporate seal to be hereunto affixed by its duly authorized officer
or agent and executed this
(5)
__________________day of __________________________, 20_______________.
(6)_______________________________________________________ (Seal)
Principal
(8)
(Principal)
Corporate Seal
(7) By:____________________________________________________ (Seal)
Title (Must be President or Vice-President)
(9)_____________________________________________________________
(11)
Surety
(Surety)
Corporate Seal
(10)By:_________________________________________________________
(Acknowledgment by Principal if Individual or Partnership)
(12)
STATE OF ______________________________
County of _______________________________ , to-wit:
(13)
I, ______________________________________________________________ a Notary Public in and for the
(14)
county and state aforesaid, do hereby certify that ____________________________________________________
(15)
whose name is signed to the foregoing writing, bearing date the _______day of _______________ , 20_____ , has
this day acknowledged the same before me in my said county.
(16)
Given under my hand this the ________day of __________________ , 20____.
(17)
Notary Seal
(18) ________________________________________________
Notary Public
My commission expires on the _______ day of ___________________, 20____.
(Acknowledgment by Principal if Corporation)
(19)
STATE OF ______________________________
County of _______________________________ , to-wit:
(20)
I, ______________________________________________________________ a Notary Public in and for the
(21)
county and state aforesaid, do hereby certify that ____________________________________________________
(22)
who, as _________________________________ , signed the foregoing writing for _________________________
(23)
____________________________________________________________________________ , a corporation,
(24)
bearing date the _________day of____________________________ , 20_____ , has this day, in my said county,
before, me, acknowledged the said writing to be the act and deed of the said corporation.
(25)
Given under my hand this the ________day of __________________ , 20_____.
(26)
Notary Seal
(27) ________________________________________________
Notary Public
My commission expires on the ________day of _______________________ , 20_____.
(Acknowledgment by Surety)
(28)
STATE OF ______________________________
County of _______________________________ , to-wit:
(29)
I, _____________________________________________________________ a Notary Public in and for the
(30)
county and state aforesaid, do hereby certify that ____________________________________________________
(31)
who, as _________________________________ , signed the foregoing writing for _________________________
(32)
____________________________________________________________________________ , a corporation,
(33)
bearing date the ________day of ____________________________ , 20________ , has this day, in my said county,
before, me, acknowledged the said writing to be the act and deed of the said corporation.
(34)
Given under my hand this the ______day of __________________ , 20_____.
(35)
Notary Seal
(36) ________________________________________________
Notary Public
My commission expires on the ________ day of _______________________ , 20_____.
BOND PREPARATION INSTRUCTIONS
IF PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP:
Complete the bond, lines (1) through (8);
Have Notary complete the applicable section of acknowledgment titled, Acknowledgment by Principal if Individual or
Partnership, on the back of bond.
IF PRINCIPAL IS A CORPORATION:
Complete the bond, line (1) through (8);
Have Notary complete the applicable section of acknowledgment titled, Acknowledgment by Principal if Individual or
Partnership, on the back of bond;
Affix corporate seal as requested on face of bond.
SURETY:
Complete applicable portion of bond;
Have notary complete applicable section of acknowledgment titled, Acknowledgment by Surety, on the back of the
bond;
Attach Power of Attorney to bond if surety signatory is an attorney in fact;
Affix raised Surety Seal to bond and to Power of Attorney.
LINE NUMBER INSTRUCTIONS
FACE OF BOND CANNOT CONTAIN WHITE-OUTS OR ALTERATIONS. REVERSE OF BOND MAY
CONTAIN WHITE-OUTS OR ALTERATIONS PROVIDING CHANGES ARE INITIALED BY NOTARY.
(1)
Enter name and address of Principal (Specify individual, partnership, or corporation) to be covered by bond.
(2)
Enter name and address of Surety Company issuing bond.
(3)
Enter amount of bond.
(4)
Enter effective date of the bond. (West Virginia Code requires continuation certificate annually on anniversary date).
(5)
Enter execution date of bond (also known as the bearing date of the bond).
(6)
Enter name of the Principal (individual, partnership, or corporation covered by bond).
(7)
If principal is an individual, affix signature. If principal is a corporation, President or Vice-President must sign bond
and underline the appropriate title. If bond is to be signed by one other than the President or Vice-President, affix
copy of corporate resolutions showing authorization of individual to bind corporation.
(8)
If Principal is a corporation, be sure to affix corporate seal, if not available draw facsimile.
(9)
Enter name of Surety.
(10) Affix signature and title of person having Power of Attorney to bind Surety.
(11) Affix corporate seal of Surety.
ACKNOWLEDGMENT PREPARATION INSTRUCTIONS:
IF PRINCIPAL IS AN INDIVIDUAL OR PARTNERSHIP, HAVE NOTARY COMPLETE LINES (12) -(18).
IF PRINCIPAL IS A CORPORATION HAVE NOTARY COMPLETE LINES (19) - (27).
SURETY MUST HAVE NOTARY COMPLETE LINES (28) - (36)
ACKNOWLEDGMENT BY PRINCIPAL IF INDIVIDUAL OR PARTNERSHIP
(12) Enter name of State and County.
(13) Enter name of Notary Public witnessing transactions.
(14) Enter name of principal covered by bond if individual or partnership.
(15) Enter bearing date of bond (also known as execution date). Must be same date entered on line 8 of the bond.
(16) Notary enters date bond was witnessed. May be same as bearing date or any date thereafter.
(17) Affix Notary Seal. If notary is located outside the State of West Virginia, seal must be affixed.
(18) Notary affixes signature here and enters expiration date of appointment.
ACKNOWLEDGMENT BY PRINCIPAL IF CORPORATION
(19) Enter name of State and County.
(20) Enter name of Notary Public witnessing transactions.
(21) Enter name of Corporate Officer signing bond. (Should by President or Vice-President).
(22) Enter designate Title of Corporate officer signing bond.
(23) Enter name of Company or Corporation
(24) Enter bearing date of bond (also known as execution date). Must be same date entered on line 8 of the bond.
(25) Notary enters date bond was witnessed. May be same as bearing date or any date thereafter.
(26) Affix Notary Seal. If notary is located outside the State of West Virginia, seal must be affixed.
(27) Notary affixes signature here and enters expiration date of appointment.
ACKNOWLEDGMENT BY SURETY
(28) Enter name of State and County.
(29) Enter name of Notary Public witnessing transactions.
(30) Enter name of person having power of attorney to bind Surety Company.
(31) Designate title of person binding Surety Company.
(32) Enter name of Insurance Company (Surety).
(33) Enter bearing date of bond (also known as execution date). Must be same date entered on line 8 of the bond.
(34) Notary enters date bond was witnessed. May be same as bearing date or any date thereafter.
(35) Affix Notary Seal. If Notary is located outside the State of West Virginia, seal must be affixed.
(36) Notary affixes signature here and enters expiration date of appointment
POWER OF ATTORNEY INSTRUCTIONS
Power of Attorney for Surety must be attached and it must show that it was in full force and effect on bearing date (execution)
indicated on the face of the bond, also the raised corporate seal must be affixed to the Power of Attorney.
Name of attorney in fact must be listed (if attorney is a nonresident, bond must be countersigned by West Virginia
resident agent).
Power of Attorney may not exceed imposed limitations.
Certificate date must be the execution date (bearing date) of the bond.
Signature of authorizing official must be affixed. (Signature may be facsimile).
Raised seal must be affixed.
MAILING INSTRUCTIONS
All bond forms must be submitted to and approved by the State Tax Department before commencing any timber harvesting activity
in West Virginia. Bond forms must be mailed to:
West Virginia State Tax Department
Tax Account Administration Division
PO Box 425
Charleston, West Virginia 25322-0425.
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