Bond Number: ______________
RLS Use Only
Approved ______________
Date __________________
Comptroller of
Maryland
Field Enforcement Division
Regulatory & Licensing
Section
P.O. Box 2999
Annapolis, Maryland 21404-2999
410-260-7314 or
800-MD-TAXES
ATT@
marylandtaxes.gov
www.marylandtaxes.gov
MARYLAND
FORM
379
DIRECT WINE
SHIPPER BOND
COM-FED/RLS-379 Rev. 08/19
KNOW ALL PERSONS BY THESE PRESENTS, that we ______________________________________________,
hereinafter called the Principal, and ________________________________________________, an entity incorporated
under the laws of the state of _____________________________ and duly licensed to do business under the laws of the
state of Maryland, hereinafter called the Surety, are held and rmly bound unto the state of Maryland in the full and just sum of
ONE THOUSAND ($1,000.00) DOLLARS, lawful money of the United States of America, to be paid to upon demand to the said
state of Maryland, or its assigns, to which payment well and truly to be made and done we bind ourselves, our heirs, personal
representatives, administrators, successors, and assigns, jointly and severally, rmly by these presents.
WHEREAS, under the provisions of Tax-General Article, § 13-825, Annotated Code of Maryland, the above bounded Principal,
upon ling an application for a permit to ship wine directly to consumers in the state of Maryland as a “direct wine shipper”
as dened in the Annotated Code of Maryland, Alcoholic Beverages Article §2-142, is required to le concurrently therewith
a bond of the character stipulated and in the amount provided for therein, which bond shall be led with the Comptroller
of Maryland.
NOW, THEREFORE, the conditions of this obligation are such, that if the above bounded Principal shall promptly le tax returns
and reports with the Comptroller of Maryland as required by law, and shall well and truly pay all alcoholic beverage taxes as
they become due, which are now or may hereinafter be levied or imposed by the state of Maryland, together with any and
all penalties and interest thereon, and shall faithfully comply with all the provisions of the Tax-General Article, Title 5 and
Title 13, Annotated Code of Maryland, and all amendments thereof, then this obligation to be void; otherwise, to remain in
full force and eect until cancelled in accordance with the provisions of the Tax-General Article. Any cancellation of this bond
shall not aect any liability incurred or accrued prior to the termination date.
In witness whereof the said Principal has hereunto set its hand and seal and the Surety has caused this instrument to be
executed in its name and on its behalf this _________ day of _________________________, 20_________.
NOTE: CANCELLATION OF THIS BOND REQUIRES A 60 DAY NOTICE
TO BE COMPLETED BY SURETY
____________________________________________________________
Name of Surety
____________________________________________________________
Signature of President/Attorney-In-Fact
Attest: _______________________________________________________
TO BE COMPLETED BY LICENSEE
____________________________________________________________
Name of Principal
____________________________________________________________
Signature of Owner, Partner or Ocer
Witness: ______________________________________________________
