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Assignment (For Conduct Surety Purposes Only) 2-62.2 - Texas
| Assignment (For Conduct Surety Purposes Only) Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide . |
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FORM 2-62.2 (3/06) ASSIGNMENT (FOR CONDUCT SURETY PURPOSES ONLY) Obligation of this security is for compliance with the Alcoholic Beverage Code and Rules of the Texas Alcoholic Beverage Commission. Title 3, Subtitle A, Chapter11, Subchapter A, Sec. 11.11 and Subtitle B, Chapter 61, Subchapter A, Sec. 61.13 of the Alcoholic Beverage Code 1995, As Amended. TEXAS ALCOHOLIC BEVERAGE COMMISSION, P.O. Box 13127, Austin, TX 78711 (1) (512) 206-3333 hereinafter called assignor, whose principal place of business is (2) (3) , Texas, do (does) hereby assign, and set over the Texas Alcoholic Beverage Commission of the State of Texas, all right, title and interest of whatever nature, of assignor, in and to the insured account of assignor in the (4) evidenced by in the amount of (6) (5) $ numbered (7) Assignor agrees the this assignment carries with it the right to the insurance of the account by the (8) and includes and gives the right to the Administrator of the Texas Alcoholic Beverage Commission of the State of Texas to redeem, collect, and withdraw the full amount of such account at any time WITHOUT NOTICE TO THE ASSIGNOR. The condition of the obligation of this assignment is such that the permittee or licensee shall faithfully conform with the Texas Alcoholic Beverage Code and Rules of the commission. If the holder of this permit or license violates a law of the state relating to alcoholic beverages or a rule of the commission, the amount of the certificate of deposit shall be paid to the state. Assignor herby notifies the above named Date (4) SIGN HERE of the assignment. (Signature of Assignor) RECEIPT FOR NOTICE OF ASSIGNMENT Receipt is acknowledged to the Administrator of the Texas Alcoholic Beverage Commission of the State of Texas of written notice of the assignment to said State of Texas of the account identified above. We have noted in our records the State's interest in said account as shown by the above assignment. We certify that we have received no notice of any lien, encumbrance, hold, claim, or obligation of the above-identified account prior to assignment to the State of Texas. We agree to make payment by mail to the State of Texas upon demand by mail in accordance with the laws applicable to this (9) . Date SIGN HERE (Signature of Bank Officer) Name of Bank Address City, State, Zip Area Code & Phone No. (Title of Bank Officer) (1) Name of Applicant: IF: ( ) - (2) (3) (4) (5) Corporate name must be shown All partners' names must be shown Name of limited partnership and general partner must be shown Name of the club must be shown-(If Corporation-Corporate name) Name of individual must be shown Name of limited liability partnership and all partners' names must be shown Name of limited liability company must be shown Trade Name of Business (6) Amount in words and figures Actual Business Address and City (Not Mail Address) (7) Number of C.D. or Savings Account Name of Bank, association or credit union (8) Name of U.S. Agency insuring deposit Description of automatically renewable time Certificate of Deposit or Savings Account (9) Bank, association or credit union Corporation -----------------------------------Partnership -----------------------------------Limited Partnership -------------------------Private Club ----------------------------------Proprietorship --------------------------------Limited Liability Partnership --------------Limited Liability Company ----------------- THE ASSIGNMENT OF THIS CERTIFICATE OF DEPOSIT OR SAVINGS ACCOUNT PASSBOOK PROHIBITS THE BANK FROM DISPERSING THE PRINCIPAL MONIES ASSIGNED TO THE TEXAS ALCOHOLIC BEVERAGE COMMISSION UNTIL RELEASED OR DISCARDED, IN WRITING, BY THE TEXAS ALCOHOLIC BEVERAGE COMMISSION. (COMPLETE NEXT PAGE) American LegalNet, Inc. www.FormsWorkflow.com ACKNOWLEDGMENTS No. 1 (FOR ASSIGNOR) FORM 2-62.2 (3/06) BEFORE ME, the undersigned authority in and for said State on this day personally appeared known to me to be the person whose name is subscribed to the (Name of Assignor) foregoing instrument, and acknowledged to me that he or she executed the same, for the purposes and considerations therein expressed. Given under my hand and seal of office, this SIGN HERE day of A.D., (S E A L) Notary Public in and for the State of Texas No. 2 (FOR BANK OR SAVINGS ASSOCIATION) BEFORE ME, the undersigned authority in and for said State on this day personally appeared known to me to be the person whose name is subscribed to the (Name of Bank Officer) foregoing instrument, and acknowledged to me that he or she executed the same as the act and deed of the surety company thereof, and for the purposes and considerations therein expressed, and in the capacity therein stated. Given under my hand and seal of office, this SIGN HERE (S day of A.D., E A L) Notary Public in and for the State of Texas NO. 2 BANK OR SAVINGS ASSOCIATION Name of bank officer who signed the assignment must be shown. Notary Public must date sign the acknowledgment and affix notary seal. NO. 1 ASSIGNOR Name of assignor (permittee/licensee) who signed the assignment must be shown. Notary public must date, sign the acknowledgment and affix notary seal. 1. This assignment form may only be used for Conduct Surety purposes and the certificate of deposit or savings account must be issued by a Texas bank, savings institution or credit union. 2. Upon expiration of a license or permit, its voluntary cancellation, or upon the applicant's subsequent approval for exemption from the surety requirements, the licensee or permittee may request (in writing) the release and return of the security supporting their license or permit. 3. The release of this security will not be unreasonably withheld; however, the bank, savings institution or credit union is not released from its obligation until they receive written notice of the release from this agency. American LegalNet, Inc. www.FormsWorkflow.com
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