Form B-C-790C "Change of Name Liability Bond Rider" - North Carolina

What Is Form B-C-790C?

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

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the North Carolina Department of Revenue;
  • 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 B-C-790C by clicking the link below or browse more documents and templates provided by the North Carolina Department of Revenue.

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Download Form B-C-790C "Change of Name Liability Bond Rider" - North Carolina

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4
B-C-790C
PRINT
CLEAR
Change of Name Liability Bond Rider
Web
8-17
To be attached to and form part of Bond No.
dated
,
(Date of Original Bond)
the SURETY being
,
(SURETY Company)
being made on behalf of
,
(PRINCIPAL Name)
the PRINCIPAL therein, in favor of the STATE OF NORTH CAROLINA.
It is understood and agreed that the name of the PRINCIPAL is hereby changed to read:
Nothing herein contained shall serve to waive, alter, modify or terminate any of the terms and
conditions of the subject Bond other than as herein expressly set forth.
This rider shall become effective as of the
day of
,
.
(Month)
(Year)
,
.
Signed, sealed and delivered this
day of
(Month)
(Year)
INDIVIDUAL PRINCIPAL:
(Signature)
AFFIX SEAL OF
(Print Name)
CORPORATION/LLC
PARTNERSHIP PRINCIPAL:
(Print Name of Partnership)
BY:
(Signature)
(Title)
CORPORATE ATTEST:
(Print Name of Signer)
CORPORATION/LLC PRINCIPAL:
(Print Name of Corporation/LLC)
(Signature)
(Title)
BY:
(Signature)
(Title)
(Print Name)
(Print Name of Signer)
SURETY:
(Print Name of Surety Company)
AFFIX SEAL OF
BY:
SURETY
as Attorney in Fact for
SURETY HERE
(Signature)
(Print Name)
Mail To: North Carolina Department of Revenue, Attention: Alcohol Registration and Bonding,
1429 Rock Quarry Road, Suite 105, Raleigh, NC 27610
4
B-C-790C
PRINT
CLEAR
Change of Name Liability Bond Rider
Web
8-17
To be attached to and form part of Bond No.
dated
,
(Date of Original Bond)
the SURETY being
,
(SURETY Company)
being made on behalf of
,
(PRINCIPAL Name)
the PRINCIPAL therein, in favor of the STATE OF NORTH CAROLINA.
It is understood and agreed that the name of the PRINCIPAL is hereby changed to read:
Nothing herein contained shall serve to waive, alter, modify or terminate any of the terms and
conditions of the subject Bond other than as herein expressly set forth.
This rider shall become effective as of the
day of
,
.
(Month)
(Year)
,
.
Signed, sealed and delivered this
day of
(Month)
(Year)
INDIVIDUAL PRINCIPAL:
(Signature)
AFFIX SEAL OF
(Print Name)
CORPORATION/LLC
PARTNERSHIP PRINCIPAL:
(Print Name of Partnership)
BY:
(Signature)
(Title)
CORPORATE ATTEST:
(Print Name of Signer)
CORPORATION/LLC PRINCIPAL:
(Print Name of Corporation/LLC)
(Signature)
(Title)
BY:
(Signature)
(Title)
(Print Name)
(Print Name of Signer)
SURETY:
(Print Name of Surety Company)
AFFIX SEAL OF
BY:
SURETY
as Attorney in Fact for
SURETY HERE
(Signature)
(Print Name)
Mail To: North Carolina Department of Revenue, Attention: Alcohol Registration and Bonding,
1429 Rock Quarry Road, Suite 105, Raleigh, NC 27610
Page 2
INSTRUCTIONS
B-C-790C Web, 8-17
1.
Enter the bond number of the original bond provided by your Surety or Insurance Company.
2.
Enter the effective date of the original bond.
3.
Enter the LEGAL name of the Surety or Insurance Company underwriting the bond and rider. This name MUST match the name indicated on the
Surety or Insurance Company’s corporate seal.
4.
Enter the Principal name which is the LEGAL name of the individual, partnership, corporation, or limited liability company (LLC) who is required
to post the bond and rider as it appeared on the original bond.
5.
Enter the LEGAL name of the Principal.
• Sole proprietorship: the legal name is the individual owner followed by any trade name used.
• Partnership: the legal name is the actual names of the partners followed by the partnership name.
• Corporation: the legal name is as shown on its Articles of Incorporation including all punctuation and with the only allowable a
abbreviations being those actually part of the legal name.
• Limited Liability Company: the legal name is as shown on its Articles of Organization including all punctuation with the only
allowable abbreviations being those actually part of the legal name.
NOTE: If the Principal is registered with the North Carolina Secretary of State to conduct business in North Carolina, the name entered on this
line MUST match the registered name EXACTLY. Please include ALL necessary apostrophes, commas, periods, etc. included in the LEGAL
name of your business.
6.
Enter the day, month, and year the rider changing the Principal’s name on the bond will go into effect.
7.
Signed, Sealed and Delivered Date: Enter the date the bond is executed (signed by all parties). This date MUST match the execution date
indicated on the Surety’s Power of Attorney.
8.
INDIVIDUAL Principal: If the principal is an individual (sole proprietor), and is not incorporated or otherwise registered with the North Carolina
Secretary of State, the individual MUST sign his/her name. Below the signature line, the individual MUST print their name and in parenthesis
beside their name, print any trade name used by the individual principal. No seal is required for an individual principal.
PARTNERSHIP Principal: If the principal is a partnership, print the LEGAL name of the partnership as indicated in the Partnership Agreement
9.
or Certificate of Limited Partnership (this MUST match the name entered at the top of the form for the Principal Name). ONLY a General Partner
may sign for partnership principals. A General Partner MUST sign and print their title as “General Partner”. Below the signature line, the signing
General Partner MUST print their name. No seal is required for a partnership principal.
10. CORPORATION / LLC Principal: If the principal is a corporation or limited liability company (LLC), print the LEGAL name of the corporation
or LLC as indicated in the Articles of Incorporation or Articles of Organization (this MUST match the name entered at the top of the form for the
Principal Name).
• Corporation: ONLY a corporate officer who is authorized to legally bind the corporation may sign – this includes the President, Vice-
President, or Treasurer. Below the signature line, the signing corporate officer MUST print their name and official title. If a corporation’s
Bylaws or Board of Directors have appointed specific corporate officials the ability to act on behalf of the corporation, a copy of the Bylaw,
Board resolution, or other corporate document MUST accompany the bond.
NOTE: The bonding requirements for a Corporate Principal include additional requirements. See items #12 and #13 below.
• Non-Resident Corporations: If incorporated in a State other than North Carolina, the corporation MUST have a valid Certificate
of Authority to transact business in North Carolina on file with the North Carolina Secretary of State.
• LLC: Any Member of an LLC may sign the bond. Below the signature line, the signing Member MUST print their name and identify their
official title as a member.
• Non-Resident LLC’s: If an LLC is organized in a State other than North Carolina, the company MUST have a valid Certificate of
Authority to transact business in North Carolina on file with the North Carolina Secretary of State.
11. Attest: For Corporation Principals, ONLY the Corporate Secretary or Assistant Secretary (as designated by the corporate Articles of
Incorporation, Bylaws, or the Board of Directors) can attest to the signature of the President, Vice President, or Treasurer. The Corporate
Secretary or Assistant Secretary MUST sign the attestation line and enter their official title. The Secretary or Assistant Secretary should print
their name on the line below their signature.
• If there is only one officer of the corporation, a statement on corporate letterhead MUST accompany the bond to this effect.
• If a corporation’s Articles of Incorporation, Bylaws, or Board of Directors have appointed other corporate officials the ability to attest, or if
other corporate officials have been designated authority to act on behalf of the corporation, a copy of the Articles of Incorporation, Bylaws,
Board Resolution, or other corporate document MUST accompany the bond.
12. Affix Seal of Corporate/LLC: For Corporation Principals, upon the word “Seal” must be placed or affixed the corporate seal of the company. If
the Corporation does not have a corporate seal, or if an embossed corporate seal is unreadable, or if the business name upon the seal differs
from the Legal business name, the Corporation principal MUST include a letter on corporate letterhead, indicating the same and signed by the
corporate President.
If an LLC has a company seal, it should be affixed upon the word “Seal” however, a seal is not required for an LLC.
13. Surety Name: Print the LEGAL name of the Surety or Insurance Company. This MUST match the name previously entered for the Surety or
Insurance Company at the top of the form.
14. Signature and Printed Name of Attorney-in-Fact for Surety: The Surety’s Attorney-In-Fact MUST sign to the left of the words “as Attorney in
Fact for the Surety” and print their name on the line below. This individual’s name MUST appear in the attached Power of Attorney.
15. Surety Corporate Seal: Upon the word “Seal” the Surety or Insurance Company MUST place or affix their corporate seal. The name on the
corporate seal MUST be readable and MUST match the name of the Surety or Insurance Company underwriting the bond.
THE BOND RIDER MUST BE ACCOMPANIED BY A VERIFIED COPY OF THE AUTHORITY OF THE PERSON EXECUTING THE SAME TO DO SO ON
BEHALF OF THE CORPORATE SURETY.
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