Form LC-MW-816 "Surety Bond for Non-retail License" - Michigan

What Is Form LC-MW-816?

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

Form Details:

  • Released on June 1, 2014;
  • The latest edition provided by the Michigan Department of Licensing and Regulatory Affairs;
  • 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 LC-MW-816 by clicking the link below or browse more documents and templates provided by the Michigan Department of Licensing and Regulatory Affairs.

ADVERTISEMENT
ADVERTISEMENT

Download Form LC-MW-816 "Surety Bond for Non-retail License" - Michigan

Download PDF

Fill PDF online

Rate (4.8 / 5) 48 votes
Michigan Department of Licensing and Regulatory Affairs
Liquor Control Commission (MLCC)
Constitution Hall - 525 W. Allegan, Lansing, MI 48933
Mailing Address: PO Box 30005, Lansing, MI 48909
Toll Free (866) 813-0011 •
www.michigan.gov/lcc
SURETY BOND FOR NON-RETAIL LICENSE
[Authorized by MCL 436.1801]
**PLEASE READ REQUIREMENTS FOR SURETY BOND BEFORE SIGNING**
CONTINUOUS BOND NO. ___________________
KNOW ALL PEOPLE BY THESE PRESENTS, That we
as Principal and
(Surety Name)
of
Street, City of
State of
(Surety Home Office Address)
Having been authorized to do business in the State of Michigan, as surety, are firmly bound to the People of the State of Michigan in the sum of
$
, to which payment, we bind ourselves, our heirs, personal representatives, successors and assigns, firmly by these
presents.
Sealed with our seals and dated this
day of
A.D. 20
THE CONDITION OF THIS OBLIGATION is such that:
if the Principal pays or causes to be paid, as provided by law, the tax or fees imposed by law on all alcoholic liquors manufactured,
warehoused or wholesaled by the Principal, and
if the Principal complies with (1) the terms of the said permits or licenses or supplementary permits and licenses, or any modification to
the permits or licenses, and (2) with all provisions of the laws of this State and regulations now or hereafter in force relating to alcoholic
liquors; and
if the Principal further pays all other taxes, assessments, penalties and interest on assessed taxes, inspection fees or fines which may
become due or are levied against the Principal under the laws of this State or rules and regulations of the Liquor Control Commission
now in effect or hereinafter enacted, and all other lawful debts, obligations, and undertakings which shall become owing to this State on
account of the manufacture, sale, warehousing, wholesaling or removal of any alcoholic liquors;
Then this obligation shall be void; otherwise to remain in full force and effect.
OBLIGORS
AND THE
, for themselves, their heirs, personal representatives, successors and assigns further agree with the State of Michigan as follows:
1.
This bond shall be effective from and afte
r the ________________________day of _____________________________A.D. 20_____
___________, if accepted by the Michigan Liquor Control Commission, and shall remain in full force and effect as set forth in this bond,
or otherwise limited by law and the rules and regulations of the Liquor Control Commission. If the effective date of the bond is not filled
in, the date of execution shall be the effective date.
2.
All rights and liabilities under this bond shall be governed, by the terms hereof, by law, and by regulations made pursuant to law as now
exist or as later amended.
3.
Any surety herein desiring to cancel this Bond may do so in
he Michigan Liquor Control Commission (MLCC).
writing to the Principal and t
The effective date of the cancellation shall be at least thirty days after the receipt of the notification of cancellation by the Principal and
the MLCC. This notice may be given by an agent of the surety
the giving of
, only if the agent has an executed power-of-attorney authorizing
such Notice, or a verified statement that same is on file with the MLCC. The surety shall be relieved of all liability for acts done after the
cancellation is effective.
Conditioned further that all terms, obligations, and conditions of this bond shall be binding on the principal for its acts and the acts of its
4.
vendor, sales representatives, agents, servants and employees, pursuant to the laws of this State and rules of the MLCC, now and in
effect or hereafter enacted.
WITNESS OUR HANDS AND SEAL
Principal Signature
this
day of
, A.D. 20
Principal Signature
Surety Agent Signature
Signed, Sealed and Delivered in the presence of
Attorney-in-fact Signature
Business Address
LC-MW-816 (Rev. 06/14)
F
O
R
M
L
C
C
U
S
E
O
N
L
Y
F
O
R
M
L
C
C
U
S
E
O
N
L
Y
M
M
i
i
c
c
h
h
i
i
g
g
a
a
n
n
B
B
r
r
e
e
w
w
e
e
r
r
/
/
M
M
i
i
c
c
r
r
o
o
B
B
r
r
e
e
w
w
e
e
r
r
$
O
O
u
u
t
t
s
s
t
t
a
a
t
t
e
e
S
S
e
e
l
l
l
l
e
e
r
r
o
o
f
f
W
W
i
i
n
n
e
e
$
$
$
M
i
c
h
i
g
a
n
W
i
n
e
M
a
k
e
r
/
S
m
a
l
l
W
i
n
e
M
a
k
e
r
$
O
u
t
s
t
a
t
e
S
e
l
l
e
r
o
f
M
i
x
e
d
S
p
i
r
i
t
D
r
i
n
k
s
$
M
i
c
h
i
g
a
n
W
i
n
e
M
a
k
e
r
/
S
m
a
l
l
W
i
n
e
M
a
k
e
r
$
O
u
t
s
t
a
t
e
S
e
l
l
e
r
o
f
M
i
x
e
d
S
p
i
r
i
t
D
r
i
n
k
s
$
O
O
u
u
t
t
s
s
t
t
a
a
t
t
e
e
S
S
e
e
l
l
l
l
e
e
r
r
o
o
f
f
B
B
e
e
e
e
r
r
$
$
M
M
i
i
c
c
h
h
i
i
g
g
a
a
n
n
M
M
F
F
G
G
.
.
o
o
f
f
M
M
i
i
x
x
e
e
d
d
S
S
p
p
i
i
r
r
i
i
t
t
D
D
r
r
i
i
n
n
k
k
s
s
$
$
Michigan Department of Licensing and Regulatory Affairs
Liquor Control Commission (MLCC)
Constitution Hall - 525 W. Allegan, Lansing, MI 48933
Mailing Address: PO Box 30005, Lansing, MI 48909
Toll Free (866) 813-0011 •
www.michigan.gov/lcc
SURETY BOND FOR NON-RETAIL LICENSE
[Authorized by MCL 436.1801]
**PLEASE READ REQUIREMENTS FOR SURETY BOND BEFORE SIGNING**
CONTINUOUS BOND NO. ___________________
KNOW ALL PEOPLE BY THESE PRESENTS, That we
as Principal and
(Surety Name)
of
Street, City of
State of
(Surety Home Office Address)
Having been authorized to do business in the State of Michigan, as surety, are firmly bound to the People of the State of Michigan in the sum of
$
, to which payment, we bind ourselves, our heirs, personal representatives, successors and assigns, firmly by these
presents.
Sealed with our seals and dated this
day of
A.D. 20
THE CONDITION OF THIS OBLIGATION is such that:
if the Principal pays or causes to be paid, as provided by law, the tax or fees imposed by law on all alcoholic liquors manufactured,
warehoused or wholesaled by the Principal, and
if the Principal complies with (1) the terms of the said permits or licenses or supplementary permits and licenses, or any modification to
the permits or licenses, and (2) with all provisions of the laws of this State and regulations now or hereafter in force relating to alcoholic
liquors; and
if the Principal further pays all other taxes, assessments, penalties and interest on assessed taxes, inspection fees or fines which may
become due or are levied against the Principal under the laws of this State or rules and regulations of the Liquor Control Commission
now in effect or hereinafter enacted, and all other lawful debts, obligations, and undertakings which shall become owing to this State on
account of the manufacture, sale, warehousing, wholesaling or removal of any alcoholic liquors;
Then this obligation shall be void; otherwise to remain in full force and effect.
OBLIGORS
AND THE
, for themselves, their heirs, personal representatives, successors and assigns further agree with the State of Michigan as follows:
1.
This bond shall be effective from and afte
r the ________________________day of _____________________________A.D. 20_____
___________, if accepted by the Michigan Liquor Control Commission, and shall remain in full force and effect as set forth in this bond,
or otherwise limited by law and the rules and regulations of the Liquor Control Commission. If the effective date of the bond is not filled
in, the date of execution shall be the effective date.
2.
All rights and liabilities under this bond shall be governed, by the terms hereof, by law, and by regulations made pursuant to law as now
exist or as later amended.
3.
Any surety herein desiring to cancel this Bond may do so in
he Michigan Liquor Control Commission (MLCC).
writing to the Principal and t
The effective date of the cancellation shall be at least thirty days after the receipt of the notification of cancellation by the Principal and
the MLCC. This notice may be given by an agent of the surety
the giving of
, only if the agent has an executed power-of-attorney authorizing
such Notice, or a verified statement that same is on file with the MLCC. The surety shall be relieved of all liability for acts done after the
cancellation is effective.
Conditioned further that all terms, obligations, and conditions of this bond shall be binding on the principal for its acts and the acts of its
4.
vendor, sales representatives, agents, servants and employees, pursuant to the laws of this State and rules of the MLCC, now and in
effect or hereafter enacted.
WITNESS OUR HANDS AND SEAL
Principal Signature
this
day of
, A.D. 20
Principal Signature
Surety Agent Signature
Signed, Sealed and Delivered in the presence of
Attorney-in-fact Signature
Business Address
LC-MW-816 (Rev. 06/14)
F
O
R
M
L
C
C
U
S
E
O
N
L
Y
F
O
R
M
L
C
C
U
S
E
O
N
L
Y
M
M
i
i
c
c
h
h
i
i
g
g
a
a
n
n
B
B
r
r
e
e
w
w
e
e
r
r
/
/
M
M
i
i
c
c
r
r
o
o
B
B
r
r
e
e
w
w
e
e
r
r
$
O
O
u
u
t
t
s
s
t
t
a
a
t
t
e
e
S
S
e
e
l
l
l
l
e
e
r
r
o
o
f
f
W
W
i
i
n
n
e
e
$
$
$
M
i
c
h
i
g
a
n
W
i
n
e
M
a
k
e
r
/
S
m
a
l
l
W
i
n
e
M
a
k
e
r
$
O
u
t
s
t
a
t
e
S
e
l
l
e
r
o
f
M
i
x
e
d
S
p
i
r
i
t
D
r
i
n
k
s
$
M
i
c
h
i
g
a
n
W
i
n
e
M
a
k
e
r
/
S
m
a
l
l
W
i
n
e
M
a
k
e
r
$
O
u
t
s
t
a
t
e
S
e
l
l
e
r
o
f
M
i
x
e
d
S
p
i
r
i
t
D
r
i
n
k
s
$
O
O
u
u
t
t
s
s
t
t
a
a
t
t
e
e
S
S
e
e
l
l
l
l
e
e
r
r
o
o
f
f
B
B
e
e
e
e
r
r
$
$
M
M
i
i
c
c
h
h
i
i
g
g
a
a
n
n
M
M
F
F
G
G
.
.
o
o
f
f
M
M
i
i
x
x
e
e
d
d
S
S
p
p
i
i
r
r
i
i
t
t
D
D
r
r
i
i
n
n
k
k
s
s
$
$
Michigan Department of Licensing and Regulatory Affairs
Liquor Control Commission (MLCC)
Constitution Hall - 525 W. Allegan, Lansing, MI 48933
Mailing Address: PO Box 30005, Lansing, MI 48909
Toll Free (866) 813-0011 •
www.michigan.gov/lcc
SURETY BOND FOR NON-RETAIL LICENSE
[Authorized by MCL 436.1801]
_________________________________________________________________________________________________
ance company authorized to do business in
Initial bond to be executed by an insur
Michigan, in the amount of $1,000.00.
The full name of the principal must be the name as it appears on the application for
license.
The seal of the surety bonding company and the surety agent's signature must
appear on each bond. Agents should also print or type the name under signature.
BONDING AGENT'S INDIVIDUAL POWER OF ATTORNEY MUST BE ATTACHED
TO THE BOND ; except when the agent writes more than one bond for the same
Principal (applicant/licensee) at the same time, a single power of attorney will be
sufficient.
LICENSES WILL NOT BE PROCESSED UNLESS THE BOND IS
PROPERLY SIGNED AND ACCOMPANIED BY THE AGENT'S POWER OF
ATTORNEY.
The effective date of the bond is required and must be effective on or before the
date the license is issued.
This is a continuous permanent bond and may be canceled ONLY IN
ACCORDANCE WITH PARAGRAPH #3 AS STATED ON THE SURETY BOND.
The surety bond should be returned with the license application and any other
required documents to the Michigan Liquor Control Commission, Manufacturers &
Wholesalers Section, P.O. Box 30005, Lansing, MI 48909-7505.
In cases of multiple licenses, separate bonds must be executed for each contract of
license.
All Partners and General Partners of Limited Partnerships must sign the bond.
Corporate and limited liability company bonds must be signed by officers or agents
duly authorized to act on behalf of the corporation or limited liability company.
Failure to sign and file this bond along with the Surety Agent's power of attorney, will
delay the processing of the license.
Failure to provide all the information required will delay the processing of the
application and issuance of the license.
LARA is an equal opportunity employer/program.
Auxiliary aids, services and other reasonable accommodations are available upon request to individuals with disabilities.
Page of 2