Form 05-0504 "Aircraft Dealer Bond" - Arizona

What Is Form 05-0504?

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

Form Details:

  • Released on August 1, 2015;
  • The latest edition provided by the Arizona Department of Transportation;
  • 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 fillable version of Form 05-0504 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.

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Download Form 05-0504 "Aircraft Dealer Bond" - Arizona

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Mail Drop 542M
AIRCRAFT DEALER BOND
Aircraft Registration Unit
PO Box 2100
Phoenix, AZ. 85001-2100
Clear
Bond Number
azdot.gov
05-0504 R08/15
602-712-6995 acreg@azdot.gov
Business Type
Principal Name
LLC
LLP
Government
Corporation
Individual
Partnership
Trade Name/DBA
Business Location City
State
Surety Name
Surety State
Pursuant to Arizona Revised Statues (ARS) section 28-8384, the above Surety, a corporation duly organized under the laws of
the above Surety State and duly authorized by the Arizona Department of Insurance to conduct general surety business in the
State of Arizona, and the above
Principal are held and firmly bound unto the State of Arizona in the sum of
________________________________ _________________________________Dollars ($________________) lawful money of the United
States, to be paid to the State of Arizona, or its successors and assigns, for which sum Surety and Principal shall be bound,
together with their respective heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
Whereas, the above Principal made application to the Arizona Department of Transportation (ADOT), MVD Aircraft Registration
Unit for aircraft dealer pursuant to ARS Title28 Chapter 25 Article 5 and has made application to the Arizona Department of
Revenue (DOR) for an Arizona tax privilege license, Authorizing Principal to engage in business as an aircraft dealer.
If said eligible purchaser status is granted, on and after the effective date thereof, this bond shall secure the faithful payment
and performance by Principal of all applicable duties and obligations of Principal pursuant to ARS Title 28 Chapter 25 Article 5,
including, but not limited to, the timely filing of reports and payment of all taxes, interest, penalties and related amounts, and
any and all additional duties as may be lawfully imposed on Principal pursuant to State of Arizona and the Rules and Regulations
of the ADOT. Bounded principal shall faithfully observe and perform the duties imposed upon him by the laws of State of
Arizona and Rules and Regulations of ADOT and DOR, and not cause any person to suffer loss, cost, damage, or expense by the
failure of the principal so the perform then this obligation shall be null and void; otherwise to remain in full force and effect.
The limit of the liability of Surety is that of the above sum, regardless of the length of time following the date hereof. No person
other than the State of Arizona or its successors and assigns shall have any right under this bond.
If Surety shall elect, liability under this bond may be terminated by it upon 60 days written notice to Department, delivered to
the above address, in which event said termination of liability shall be effective at the end of the 60 day period, as provided by
law, unless prior to such time a new bond shall have been filed by Principal and accepted by Department, in which event such
termination shall be effective from the effective date of the new bond. Notice of termination of liability shall not affect the
liability of Surety hereunder for acts or omissions of Principal occurring prior to the effective date of termination, and Surety
shall continue to be liable therefor to the same extent as if notice of termination had not been given.
This bond shall continue in full force and effect until the surety has terminated future liability after sixty (60) days’ notice to the
ADOT MVD Aircraft Registration Unit.
The Principal and Surety executed this bond on this date _________________________.
Surety Name
Principal or Duly Authorized Officer Name
Phone
Phone
(
)
(
)
Signature
Signature
Arizona License Insurance Producer
Title
Send Bond Claims To
Mailing Address
Mailing Address
City, State, Zip Code
AZ Producer License Number
City, State, Zip Code
E-mail Address
Fax
Phone
(
)
(
)
Signature
Phone
(
)
Mail Drop 542M
AIRCRAFT DEALER BOND
Aircraft Registration Unit
PO Box 2100
Phoenix, AZ. 85001-2100
Clear
Bond Number
azdot.gov
05-0504 R08/15
602-712-6995 acreg@azdot.gov
Business Type
Principal Name
LLC
LLP
Government
Corporation
Individual
Partnership
Trade Name/DBA
Business Location City
State
Surety Name
Surety State
Pursuant to Arizona Revised Statues (ARS) section 28-8384, the above Surety, a corporation duly organized under the laws of
the above Surety State and duly authorized by the Arizona Department of Insurance to conduct general surety business in the
State of Arizona, and the above
Principal are held and firmly bound unto the State of Arizona in the sum of
________________________________ _________________________________Dollars ($________________) lawful money of the United
States, to be paid to the State of Arizona, or its successors and assigns, for which sum Surety and Principal shall be bound,
together with their respective heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these
presents.
Whereas, the above Principal made application to the Arizona Department of Transportation (ADOT), MVD Aircraft Registration
Unit for aircraft dealer pursuant to ARS Title28 Chapter 25 Article 5 and has made application to the Arizona Department of
Revenue (DOR) for an Arizona tax privilege license, Authorizing Principal to engage in business as an aircraft dealer.
If said eligible purchaser status is granted, on and after the effective date thereof, this bond shall secure the faithful payment
and performance by Principal of all applicable duties and obligations of Principal pursuant to ARS Title 28 Chapter 25 Article 5,
including, but not limited to, the timely filing of reports and payment of all taxes, interest, penalties and related amounts, and
any and all additional duties as may be lawfully imposed on Principal pursuant to State of Arizona and the Rules and Regulations
of the ADOT. Bounded principal shall faithfully observe and perform the duties imposed upon him by the laws of State of
Arizona and Rules and Regulations of ADOT and DOR, and not cause any person to suffer loss, cost, damage, or expense by the
failure of the principal so the perform then this obligation shall be null and void; otherwise to remain in full force and effect.
The limit of the liability of Surety is that of the above sum, regardless of the length of time following the date hereof. No person
other than the State of Arizona or its successors and assigns shall have any right under this bond.
If Surety shall elect, liability under this bond may be terminated by it upon 60 days written notice to Department, delivered to
the above address, in which event said termination of liability shall be effective at the end of the 60 day period, as provided by
law, unless prior to such time a new bond shall have been filed by Principal and accepted by Department, in which event such
termination shall be effective from the effective date of the new bond. Notice of termination of liability shall not affect the
liability of Surety hereunder for acts or omissions of Principal occurring prior to the effective date of termination, and Surety
shall continue to be liable therefor to the same extent as if notice of termination had not been given.
This bond shall continue in full force and effect until the surety has terminated future liability after sixty (60) days’ notice to the
ADOT MVD Aircraft Registration Unit.
The Principal and Surety executed this bond on this date _________________________.
Surety Name
Principal or Duly Authorized Officer Name
Phone
Phone
(
)
(
)
Signature
Signature
Arizona License Insurance Producer
Title
Send Bond Claims To
Mailing Address
Mailing Address
City, State, Zip Code
AZ Producer License Number
City, State, Zip Code
E-mail Address
Fax
Phone
(
)
(
)
Signature
Phone
(
)