Form AU-432 "Bond of Distributor of Motor Fuel and/or Diesel Motor Fuel" - New York

What Is Form AU-432?

This is a legal form that was released by the New York State Department of Taxation and Finance - 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 October 1, 2011;
  • The latest edition provided by the New York State Department of Taxation and Finance;
  • 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 AU-432 by clicking the link below or browse more documents and templates provided by the New York State Department of Taxation and Finance.

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Download Form AU-432 "Bond of Distributor of Motor Fuel and/or Diesel Motor Fuel" - New York

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Bond no.
Bond of Distributor of Motor Fuel and/or Diesel Motor Fuel
Pursuant to Articles 12‑A and 13‑A, and under Articles 28 and 29 of the Tax Law
KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned
(Name of corporation,
of
partnership, or individual)
(Address — street, city, state, ZIP code)
as principal, and
(Name of insurance company)
(Address — street, city, state, ZIP code)
as surety, being a surety company incorporated under the laws of
(State of incorporation)
and duly authorized to transact business in the State of New York, are held and firmly bound to the People of
the State of New York in the sum of
dollars ($
) for which payment well and truly to be made we bind ourselves, our
heirs, executors, administrators, successors, and assigns, jointly and severally, by these presents.
WHEREAS, said principal, having a place of business at
(Address — street, city,
has applied for registration as a distributor of motor fuel and/or diesel motor fuel,
state, ZIP code)
pursuant to Article 12‑A of the Tax Law, or has been registered as such distributor.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that if the principal shall faithfully
discharge all duties as such distributor pursuant to Articles 12‑A, 13‑A, 28, and 29 of the Tax Law and the regulations
of the Department of Taxation and Finance thereunder, and all duties as a purchaser or seller of motor fuel or diesel
motor fuel pursuant to Articles 12‑A, 13‑A, 28, and 29 of the Tax Law and the regulations of the Department of Taxation
and Finance thereunder, and shall duly account for and pay over to said Department as required by law all sums due
from the principal pursuant to Articles 12‑A and 13‑A and under Articles 28 and 29 of the Tax Law with respect to motor
fuel or diesel motor fuel, then this obligation to be void, otherwise to remain in full force and effect, subject, however,
to the following conditions:
1.
The aggregate liability of the surety on account of all defaults occurring during the entire effective
period of this bond shall not exceed the amount above stated.
2.
This bond may be canceled as to liability for future defaults at any time upon the written consent of
the Department of Taxation and Finance, or upon thirty (30) days written notice by the surety to the
Department of Taxation and Finance.
Provided, further, the liability of any other person for the amount of taxes not paid shall not release the
surety from its obligation under this bond.
IN WITNESS WHEREOF, said principal and surety have signed and sealed this instrument
this
day of
, 20
.
(SEAL)
Principal
by
(SEAL)
Surety
by
Attest:
NOTE:
Acknowledgments by both principal and surety on back. Attach current financial statement of surety, and
copy of power of attorney for person signing on behalf of surety company.
AU-432 (10/11)
Bond no.
Bond of Distributor of Motor Fuel and/or Diesel Motor Fuel
Pursuant to Articles 12‑A and 13‑A, and under Articles 28 and 29 of the Tax Law
KNOW ALL MEN BY THESE PRESENTS, that we, the undersigned
(Name of corporation,
of
partnership, or individual)
(Address — street, city, state, ZIP code)
as principal, and
(Name of insurance company)
(Address — street, city, state, ZIP code)
as surety, being a surety company incorporated under the laws of
(State of incorporation)
and duly authorized to transact business in the State of New York, are held and firmly bound to the People of
the State of New York in the sum of
dollars ($
) for which payment well and truly to be made we bind ourselves, our
heirs, executors, administrators, successors, and assigns, jointly and severally, by these presents.
WHEREAS, said principal, having a place of business at
(Address — street, city,
has applied for registration as a distributor of motor fuel and/or diesel motor fuel,
state, ZIP code)
pursuant to Article 12‑A of the Tax Law, or has been registered as such distributor.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that if the principal shall faithfully
discharge all duties as such distributor pursuant to Articles 12‑A, 13‑A, 28, and 29 of the Tax Law and the regulations
of the Department of Taxation and Finance thereunder, and all duties as a purchaser or seller of motor fuel or diesel
motor fuel pursuant to Articles 12‑A, 13‑A, 28, and 29 of the Tax Law and the regulations of the Department of Taxation
and Finance thereunder, and shall duly account for and pay over to said Department as required by law all sums due
from the principal pursuant to Articles 12‑A and 13‑A and under Articles 28 and 29 of the Tax Law with respect to motor
fuel or diesel motor fuel, then this obligation to be void, otherwise to remain in full force and effect, subject, however,
to the following conditions:
1.
The aggregate liability of the surety on account of all defaults occurring during the entire effective
period of this bond shall not exceed the amount above stated.
2.
This bond may be canceled as to liability for future defaults at any time upon the written consent of
the Department of Taxation and Finance, or upon thirty (30) days written notice by the surety to the
Department of Taxation and Finance.
Provided, further, the liability of any other person for the amount of taxes not paid shall not release the
surety from its obligation under this bond.
IN WITNESS WHEREOF, said principal and surety have signed and sealed this instrument
this
day of
, 20
.
(SEAL)
Principal
by
(SEAL)
Surety
by
Attest:
NOTE:
Acknowledgments by both principal and surety on back. Attach current financial statement of surety, and
copy of power of attorney for person signing on behalf of surety company.
AU-432 (10/11)
AU-432 (10/11) (back)
SURETY ACKNOWLEDGMENT
State of
)
)
SS.:
County of
)
On this
day of
in the year
before me personally came
to me known,
(name of attorney in fact)
who, being duly sworn, did depose and say that he/she resides in;
(if the place of residence is in a city, include the street and street number, if any, thereof)
that he/she is the attorney in fact duly appointed of the
, the corporation described in and which
(name of corporate surety)
executed the attached instrument as surety; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such
corporate seal; that it was so affixed by authority of the board of directors of said corporation; and that he/she signed his/her name thereto by
like authority.
Notary Public
My commission expires
ACKNOWLEDGMENT BY PRINCIPAL
INDIVIDUAL ACKNOWLEDGMENT
PARTNERSHIPS/LIMITED LIABILITY
PARTNERSHIP ACKNOWLEDGMENT
State of
ss.:
State of
ss.:
County of
County of
On this
day of
in the year
before
me personally came
On this
day of
in the year
before
to me known, to be the person described in the attached bond and
me personally came
that he/she acknowledged to me that he/she executed the same.
to me known, who being by me duly sworn, did depose and say that
he/she resides at
; that he/she is a
(notary public)
partner of
, the
partnership described in and which executed the attached bond as
CORPORATE ACKNOWLEDGMENT (AS PRINCIPAL)
principal; and that he/she is empowered to and did execute the same
for and on behalf of the partnership.
State of
ss.:
County of
(notary public)
On this
day of
in the year
before
LIMITED LIABILITY COMPANY ACKNOWLEDGMENT
me personally came
to me known, who being by me duly sworn, did depose and say that
State of
ss.:
he/she resides in
;
(if the place of residence is a city include the street and street number, if any)
County of
that he/she is the
(corporate title)
On this
day of
in the year
before
of the,
me personally came
(name of corporation)
to me known, who being by me duly sworn, did depose and say that
the corporation described in and which executed the attached bond
he/she resides in
;
as principal; that he/she knows the seal of said corporation; that the
(if the place of residence is a city include the street and street number, if any)
seal affixed to said instrument is such corporate seal; that it was
that he/she is a member or manager of the
(name of LLC)
so affixed by authority of the board of directors of said corporation,
, the limited liability
and that he/she signed his/her name thereto by like authority.
company described in and which executed the attached bond as
principal; that he/she is authorized to and did execute the same for
and on behalf of the company.
(notary public)
(notary public)
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