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WV/TVB-805               West Virginia State Tax Department                                       BOND NUMBER
Rev. 8/03                             INTERNAL AUDITING DIVISION
                                      Post Office Box 2666
                                      Charleston, West Virginia  25330-2666

                                      TRANSIENT VENDOR BOND

KNOW ALL MEN BY THESE PRESENTS:

That we,
                         (Name of Transient Vendor)                     (Legal Name D/B/A)

of
  (Post Office Box/Street Address                   City                County              State      Zip Code )

As principal, and
                                                                        (Name and Surety)

a firm and/or corporation authorized to do business in the STATE OF WEST VIRGINIA, as Surety, are held and firmly
bound unto the STATE OF WEST VIRGINIA in the just and full sum of five hundred dollars ($500.00), lawful money of the
United State of America, to be paid to the STATE OF WEST VIRGINIA, to which payment well and truly to be made upon
demand, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by
these presents.

This bond shall be effective from the               day of                                        , 20       .

The continuing nature of this bond is that it is required to be renewed every two years on its anniversary date which will run
concurrently with the registration tax period unless any of the signatories hereto that the signatory desiring the cancellation
intends to cancel this bond sixty days after the postmarked date of the written notice.

WHEREAS, the above bounden PRINCIPAL applied to the WEST VIRGINIA STATE TAX DEPARTMENT for a business regis-
tration certificate as a transient vendor in accordance with the terms and provisions of Chapter 11, Article 12 of the Code of
WEST VIRGINIA of 1931  and all subsequent amendments thereto, and

WHEREAS, this bond is filed with the WEST VIRGINIA  STATE TAX DEPARTMENT, STATE OF WEST VIRGINIA, to enable
said PRINCIPAL to obtain from the Department a business registration certificate as a transient vendor.

Now,  therefor,  the condition of  this obligation is such that  if  the above bounden PRINCIPAL shall fully, faithfully, and
punctually comply with the provisions of Chapter 11, Article 12 of the Code of WEST VIRGINIA of 1931 and all subsequent
amendments thereto, and shall well and truly pay over to the STATE OF WEST VIRGINIA, through the WEST VIRGINIA
STATE TAX DEPARTMENT all and every sum or sums of money that may be due and owing to the STATE OF WEST VIRGINIA
on account of the sale of tangible personal property and shall file with the WEST VIRGINIA  STATE TAX DEPARTMENT such
tax returns as required by the Department, then this obligation shall be null and void; otherwise it shall be and remain in full
force, virtue and effect.

The principal hereby waives the secrecy provisions of WEST VIRGINIA Code ยง 11-10-5(d) and authorizes the WEST VIRGINIA
STATE TAX DEPARTMENT to  release  to  the  Surety Company all information necessary to file a proof of claim concerning
any tax liability covered by this bond and accruing during the effective dates of this bond.



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Signed, sealed and delivered this                     day of                        A.D. 20
           .

This instrument has been duly executed by the above-named principal and surety the day and year above written.

INCORPORATED TRANSIENT VENDOR:  SIGN BELOW
(Corporate Seal)

ATTEST

                                                      BY
Secretary                      Social Security Number        President              Social Security Number

INDIVIDUAL, PARTNERSHIP AND ASSOCIATION TRANSIENT VENDORS: SIGN BELOW

Name                                                         Title                  Social Security Number

Name                                                         Title                  Social Security Number

Name                                                         Title                  Social Security Number

WITNESS: SIGN BELOW

Name                                                         Name

SURETY COMPLETE BELOW

                                                      BY
                Name of Surety                                               West Virginia Resident Agent

Post Office Box                Street and Number             Post Office Box        Street and Number

City            State             Zip Code                   City            State         Zip Code

                   FOR WEST VIRGINIA STATE TAX DEPARTMENT USE ONLY

WEST VIRGINIA STATE TAX  DEPARTMENT

Accepted this                     day                                        A.D. 20

By
                               Authorized Signature                          Title






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