Mississippi Withholding Tax Surety Bond

Withholding Tax Surety Bond
89506163.pdf
Form 89-506-21-8-1-000 (Rev. 08/21)

MISSISSIPPI DEPARTMENT OF REVENUE
WITHHOLDING TAX SURETY BOND
STATE OF MISSISSIPPI

BOND NUMBER

KNOW ALL MEN BY THESE PRESENTS, THAT

,

Principal, and

, Surety, are held and firmly bound unto the State of

Mississippi in the just and full sum of
Dollars ($
), for the payment of which sum well and
truly to be made and done, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally by
these presents.
WHEREAS, the said Principal herein, intends to engage in, or is presently engaging in the business of employee leasing in the State of
Mississippi; and
WHEREAS, Miss. Code Ann. §27-7-305, as amended, requires any firm that engages in the business of employee leasing to give a
cash bond or an approved surety bond in amount sufficient to cover twice the estimated withholding tax liability for a period of three
(3) months.
NOW THEREFORE, the conditions of this bond are that the Principal herein shall comply with all provisions of the Laws, Rules
and Regulations of the State of Mississippi, as now or hereafter amended, pertaining to Mississippi income tax withholding,
and shall pay all withholding taxes, penalties, and interest provided for or required by the Laws, Rules and Regulations of the
State of Mississippi, as now or hereafter amended, until the bond hereby executed is canceled in the manner provided for
herein.
It is a further condition of this bond that on notice of the Department of Revenue of the State of Mississippi that said Principal
herein is delinquent under the Laws, Rules and Regulations of the State of Mississippi pertaining the Mississippi income tax
withholding, said Principal shall immediately pay to the Department of Revenue for the benefit of the State of Mississippi all
withholding taxes, penalties, interest and such other expenses, including attorney's fees, and any other expenses as might
be incurred in collecting this tax, penalty and interest, and on failure so to do, said Principal hereby authorizes and directs
said Surety to make payment, not to exceed the penalty of this bond, for account of said Principal and the said Surety agrees to
pay the same immediately.
The amount of this bond may be increased or decreased upon proper execution of a rider subject to approval of the Commissioner
of the Department of Revenue.
The Surety shall have the right to cancel this bond upon written notice served upon the Department of Revenue, or sent by
registered mail to said Department of Revenue, specifying therein the effective date of such cancellation. Such dates shall not be
less than sixty (60) days after the date of service, or if sent by registered mail, not less than sixty (60) days after the date
borne by the sender’s registry receipt. Provided, however, that the cancellation of this bond shall not relieve the Principal or his
Surety herein from liability on said bond for default occurring prior to the date of said cancellation.
Witness our signature this

day of

, 20

.

Principal:

Attest:
Countersigned by:

Surety:

Filed and approved this

day of

, 20

.