Form AD-14 "Farm Products Dealer Bond Form" - New York

What Is Form AD-14?

This is a legal form that was released by the New York State Department of Agriculture and Markets - a government authority operating within New York. 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 New York State Department of Agriculture and Markets;
  • 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 AD-14 by clicking the link below or browse more documents and templates provided by the New York State Department of Agriculture and Markets.

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Download Form AD-14 "Farm Products Dealer Bond Form" - New York

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Bond No. ___________________________
AD-14 (Rev. 8/15)
ANDREW M. CUOMO
RICHARD A. BALL
Governor
Commissioner
FARM PRODUCTS DEALER BOND FORM
KNOW ALL MEN BY THESE PRESENTS
That we,
___________________________________________________________________________________________________________
of _________________________________________________________________________________________________________
as principal and ______________________________________________________________________________________________
a corporation organized under the laws of the State of ________________________________________________________________
and authorized to do business in the State of New York, and having an office at (complete mailing address)
___________________________________________________________________________________________________________,
as surety are held and firmly bound unto the Commissioner of Agriculture and Markets of the State of New York in the penal sum of
_________________________________________ dollars ($__________________________) lawful money of the United States of
America, for the term of the current license and for additional,
separate and distinct penal sums in that same amount for the term of each continuation or renewal of said license, the aforesaid sums well
and truly to be paid to the said Commissioner of Agriculture and Markets of his successors, or assigns for which payment, well and truly to
be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
WHEREAS, the principal has applied or is about to apply to the Commissioner of Agriculture and Markets for a license to act as
a dealer to solicit or receive or sell or offer to sell farm products pursuant to the provisions of Article 20 of the Agriculture and Markets
Law of the State of New York, as amended, and is required to give Bond in such form and amount as shall be determined by the
Commissioner pursuant to said Article 20.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said principal shall faithfully comply
with the provisions of said Article 20 and honestly account for all farm products received for handling or sale, and promptly pay all amounts
due and becoming due for all such products as required by Law, then this obligation is to be void; otherwise, to remain in full force and
effect during the term of the current license, and the terms of the continuations or renewals of said license.
Except that either the principal or the surety may cancel the obligation under this Bond but such cancellation will only be effective
if the surety mails a notice of such intent to cancel, by registered or certified mail, with return receipt requested to the Commissioner at least
90 days prior to the cancellation date specified in the notice. In such event, the obligations of the surety shall cease at the close on the
cancellation date specified in the notice as to any future acts, activities, or failures or refusals to act of the principal but not as to any acts,
activities, or failures or refusals to act occurring before the close of the business on such ninetieth day.
Any claim under this Bond for farm products bought, handled or sold and not paid for by the principal must be filed with the
Commissioner as provided in Section 250-b of the Agriculture and Markets Law.
Sealed and dated this ______________________ day of ______________________, 20____.
___________________________________________________________
(Principal)
By ________________________________________________________
CORPORATE
(Signature and Title of Officer)
SEAL
___________________________________________________________
(Surety)
By ________________________________________________________
(Signature and Title of Officer)
NOTE:
If co-partnership, firm name must be signed and one member
must sign individually as well. If corporation, corporate
name must be signed in full, with the officer's name and
title on line below. CORPORATE SEALS MUST BE IMPRESSED.
Approved ____________________________, 20 ______
SURETY'S
CORPORATE
DEPARTMENT OF AGRICULTURE AND MARKETS
SEAL
By ____________________________________________
(Execution of this document must always be acknowledged before a Notary Public or other officer authorized to take
acknowledgements. If acknowledgement is taken outside New York State, attach a County Clerk's certificate.)
(SEE REVERSE SIDE FOR ACKNOWLEDGEMENTS)
Division of Agricultural Development │ 10B Airline Dr. Albany, N.Y., 12235│Phone 518-457-4383 Fax 518-457-2716 │www.agriculture.ny.gov
Bond No. ___________________________
AD-14 (Rev. 8/15)
ANDREW M. CUOMO
RICHARD A. BALL
Governor
Commissioner
FARM PRODUCTS DEALER BOND FORM
KNOW ALL MEN BY THESE PRESENTS
That we,
___________________________________________________________________________________________________________
of _________________________________________________________________________________________________________
as principal and ______________________________________________________________________________________________
a corporation organized under the laws of the State of ________________________________________________________________
and authorized to do business in the State of New York, and having an office at (complete mailing address)
___________________________________________________________________________________________________________,
as surety are held and firmly bound unto the Commissioner of Agriculture and Markets of the State of New York in the penal sum of
_________________________________________ dollars ($__________________________) lawful money of the United States of
America, for the term of the current license and for additional,
separate and distinct penal sums in that same amount for the term of each continuation or renewal of said license, the aforesaid sums well
and truly to be paid to the said Commissioner of Agriculture and Markets of his successors, or assigns for which payment, well and truly to
be made, we bind ourselves, our heirs, executors, administrators and successors, jointly and severally, firmly by these presents.
WHEREAS, the principal has applied or is about to apply to the Commissioner of Agriculture and Markets for a license to act as
a dealer to solicit or receive or sell or offer to sell farm products pursuant to the provisions of Article 20 of the Agriculture and Markets
Law of the State of New York, as amended, and is required to give Bond in such form and amount as shall be determined by the
Commissioner pursuant to said Article 20.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, that if the said principal shall faithfully comply
with the provisions of said Article 20 and honestly account for all farm products received for handling or sale, and promptly pay all amounts
due and becoming due for all such products as required by Law, then this obligation is to be void; otherwise, to remain in full force and
effect during the term of the current license, and the terms of the continuations or renewals of said license.
Except that either the principal or the surety may cancel the obligation under this Bond but such cancellation will only be effective
if the surety mails a notice of such intent to cancel, by registered or certified mail, with return receipt requested to the Commissioner at least
90 days prior to the cancellation date specified in the notice. In such event, the obligations of the surety shall cease at the close on the
cancellation date specified in the notice as to any future acts, activities, or failures or refusals to act of the principal but not as to any acts,
activities, or failures or refusals to act occurring before the close of the business on such ninetieth day.
Any claim under this Bond for farm products bought, handled or sold and not paid for by the principal must be filed with the
Commissioner as provided in Section 250-b of the Agriculture and Markets Law.
Sealed and dated this ______________________ day of ______________________, 20____.
___________________________________________________________
(Principal)
By ________________________________________________________
CORPORATE
(Signature and Title of Officer)
SEAL
___________________________________________________________
(Surety)
By ________________________________________________________
(Signature and Title of Officer)
NOTE:
If co-partnership, firm name must be signed and one member
must sign individually as well. If corporation, corporate
name must be signed in full, with the officer's name and
title on line below. CORPORATE SEALS MUST BE IMPRESSED.
Approved ____________________________, 20 ______
SURETY'S
CORPORATE
DEPARTMENT OF AGRICULTURE AND MARKETS
SEAL
By ____________________________________________
(Execution of this document must always be acknowledged before a Notary Public or other officer authorized to take
acknowledgements. If acknowledgement is taken outside New York State, attach a County Clerk's certificate.)
(SEE REVERSE SIDE FOR ACKNOWLEDGEMENTS)
Division of Agricultural Development │ 10B Airline Dr. Albany, N.Y., 12235│Phone 518-457-4383 Fax 518-457-2716 │www.agriculture.ny.gov
Bond No. ___________________________
AD-14 (Rev. 8/15)
ACKNOWLEDGEMENT OF PRINCIPAL
(Individual or Partnership)
STATE OF ____________________)
(
ss.:
COUNTY OF
)
On this ____________________________ day of ____________________________, 20 _____, before me personally
appeared__________________________________________________________________________________________________,
to
me personally known and known to be the individual described in and who executed the foregoing surety bond and he duly acknowledged
to me that he executed said instrument after having read the same.
________________________________________________
Notary Public
_________________________________________ County
(Corporation)
STATE OF ___________________ )
(
ss.:
COUNTY OF
)
On this ____________________________ day of ____________________________, 20 _____, before me personally
appeared__________________________________________________________________________________,
to be known, who, by
me being duly sworn, did say: that he resides in ______________________________________________________________________
that he is the _____________________________________________ of the _________________________________________________
the corporation described in and which executed the foregoing surety bond; that he knows the seal of said corporation; that the seal affixed
to said instrument is such corporate seal; that is was so affixed by order of the Board of Directors of said corporation and that he signed his
name thereto by like order; and he, further by me being duly sworn, deposes and says that he has read the same.
________________________________________________
Notary Public
_________________________________________ County
ACKNOWLEDGEMENT OF SURETY
STATE OF ___________________ )
(
ss.:
COUNTY OF
)
On this ____________________________ day of ____________________________, 20 _____, before me personally
appeared_________________________________________________________________________________, to be known, who, by me
being duly sworn, did say: that he resides in _________________________________________________________________________
that he is the ______________________________________________ of the ________________________________________________
the corporation described in and which executed the foregoing instrument; that he knows the seal of said corporation; that the seal affixed
to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his
name thereto by like order; and deponent further says that he is acquainted with ___________________________
_______________________________________ and knows him to be the __________________________________________________
of the said corporation; that the signature of the said ___________________________________________________________________
subscribed to the within instrument is in the genuine handwriting of the said ________________________________________________
and was subscribed thereto by like order of the Board of Directors in the presence of deponent.
________________________________________________
Notary Public
_________________________________________ County
Division of Agricultural Development │ 10B Airline Dr. Albany, N.Y., 12235│Phone 518-457-4383 Fax 518-457-2716 │www.agriculture.ny.gov
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