Page 1 of 2 Form L 2-60.2 (01/2018)
CONDUCT SURETY BOND
L 2-60.2
(01/2018)
BOND NUMBER
(1)
KNOW ALL MEN BY THESE PRESENTS:
(For Surety Company’s Use)
THAT WE, (2)
as PRINCIPAL, and (3)
as SURETY, duly authorized and qualified to do business as a surety company in this State, are firmly bound unto THE
STATE OF TEXAS in sum of (4)
dollars payable at Austin, Travis County, Texas, and for the payment of which, well and truly to be made, PRINCIPAL
binds himself, his heirs, executors and administrators, jointly and severally, or itself, its successors and assigns, and the
SURETY binds itself, its successors and assigns, firmly by these presents.
WHEREAS, PRINCIPAL is the holder of (5)
(Type of Permit/License See reverse side)
granted the privileges by said permit to be exercised in the city of (6)
(If not located in a city/town, leave blank and insert county name in #7)
(7) County, Texas, pursuant to the provisions of the Texas Alcoholic Beverage Code.
NOW, THEREFORE, THE CONDITION OF THE OBLIGATION is such that the Principal 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 bond shall be paid to the
state, SUBJECT, HOWEVER, to the following terms and conditions:
1. This bond shall become effective on the date of the issuance of above permit or license by the Texas Alcoholic
Beverage Commission and shall remain in full force and effect until cancelled, and thereinafter provided, or until
such permit or license and succeeding renewals of the permit or license have expired.
2. This bond may be cancelled as to liability for future defaults at any time by the SURETY, upon giving thirty (30)
days written notice, in which event the liability of the SURETY shall at the expiration of said thirty (30) days,
cease an
d terminate, it being understood that the SURETY shall be liable for the default of the PRINCIPAL in
fully discharging any liability on his or its part as above set forth, accruing during the life of the permit or license,
and while this bond is in full force and effect.
3. The liability of the SURETY shall not exceed the amount above stated.
PRINCIPAL
SURETY COMPANY
IN TESTIMONY, WHEREOF, said PRINCIPAL has
hereunto subscribed his or their names or has cause this
instrument to be signed by its duly authorized officers and
its corporate seal to be hereunto affixed this date:
A.D.,
SIGN
HERE
(Signature of Principal)
PRINCIPAL MUST BE SHOWN AS: WHO MUST SIGN:
IN TESTIMONY WHEREOF, said SURETY has
caused t
his instrument to be signed by it duly authorized
officers and its corporate seal to be hereunto affixed this
date:
A.D.,
SIGN
HERE
(Signature of Attorney-in-Fact for Surety Company)
(Surety Company Name)
(Surety Company Mailing Address)
(Surety Company Area Code and Phone Number)
(Agent’s Area Code and Phone Number)
Proprietorship-individual owner
-individual
Partnership-all partners’ names
-partner
Corporation-corporate name
-officer
Limited partnership-partnership name & general partner
-general partner
Limited liability partnership-partnership name & all partners
-general partner
Limited liability company-company name
-officer/manager
Private Club-club name, if corporation, corporate name
-officer
(COMPLETE NEXT PAGE)
Page 2 of 2 Form L 2-60.2 (01/2018)
ACKNOWLEDGMENTS
No. 1 (FOR PRINCIPAL)
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 Principal)
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 date A.D.,
SIGN
(S E A L) HERE
Notary Public
No. 2 (FOR SURETY COMPANY)
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 Attorney-in-Fact)
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 date A.D.,
SIGN
(S E A L) HERE
Notary Public
NO. 1 PRINCIPAL-ACKNOWLEDGMENT
Name of principal who signed the bond must be shown.
Notary public must date, sign the acknowledgment and affix
notary seal.
NO. 2 SURETY COMPANY-ACKNOWLEDGMENT
Name of attorney-in-fact who signed the bond must be shown.
Notary Public must date sign the acknowledgment and affix
notary seal.
I N S T R U C T I O N S
1. As required under Section 11.11 and 61.13 of the Texas Alcoholic Beverage Code, this bond must accompany all original
applications for the licenses/permits listed below unless you qualify to hold a Food and Beverage Certificate and are in the
process of applying for a Food and Beverage Certificate. For renewals, if you hold a Food and Beverage Certificate and are
renewing the certificate, you do not have to submit this bond. If the original/renewal application for the Food and Beverage
Certificate is not approved, a bond will be required.
Type of Permit
Bond Amount
Type of Permit
Mixed Beverage Permit (MB)
Private Club Registration Permit (N)
Private Club for Beer and Wine Permit (NB)
Private Club Exemption Certificate Permit (NE)
Wine and Beer Retailer’s Permit-Excursion Boat (V)
Wine and Beer Retailer’s Permit-Railway Car (Y)
Wine and Beer Retailer’s Permit (BG)
Retail Dealer’s On Premise License (BE)
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
*$5,000 or $10,000
Package Store Permit (P)
Wine Only Package Store Permit (Q)
Wine & Beer Retailer’s Off Premise
Permit (BQ)
$10,000
$10,000
$10,000
Only required if the business is located within 1000 feet of a
public school measuring from property line to property line
2. *$5,000/$10,000 A bond is required
in the amount of $5,000 unless the business is located within 1,000 feet of a public
school measuring from property line to property line. If within 1,000 feet of a school, a bond in the amount of $10,000 will be
required.
3. On the face of the bond: No. (1) must indicate bond number No. (5) type of permit/license as shown above
No. (2) name of principal No. (6) city of business location
No. (3) the surety company name No. (7) county of business location
No. (4) bond amount
4. Ensure the principal date is entered and the principal has signed the bond.
5. The attorney-in-
fact must date the bond; sign his/her name, enter surety company name, surety mailing address and surety
telephone number.
6. Power of Attorney authorizing attorney-in-fact to sign for Surety Company must attached.
7.
This form will not be accepted with any alterations or whiteouts on the face of the bond. Bond riders will be accepted from
bonding company to correct errors noted by the Commission. Corrections in the acknowledgments will be accepted if the notary
public has initialed the correction made thereon.
Page 1 of 1 Form L 2-61.4 (01/2018)
IRREVOCABLE LETTER OF CREDIT
(For Conduct Surety Purposes Only)
L 2-61.4
(01/2018)
Irrevocable Letter of Credit No.
(1)
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.
We hereby establish our irrevocable letter of credit in favor of the State of Texas for the account of (2)
doing business as (3)
located (4) , (5) , Texas,
under (6) license/permit (7)
This letter of credit is effective up to the aggregate amount of (8)
This letter of credit shall remain in effect until the (9) is
released or discharged by the Texas Alcoholic Beverage Commission or until the expiration date of (10) .
This is your authority to draw drafts for the full amount of (8) . The condition of the
obligation of this letter of credit 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 letter of credit shall be paid to the state.
All drafts are to be marked “Drawn under Letter of Credit No. (1) .”
FOR BANK
SIGN
HERE
(Signature of Bank Officer)
(Title of Bank Officer)
Name of Bank
Address
City, State, Zip
Area Code + Phone No.
Before me, the undersigned authority, on this day of A.D.,
the bank officer whose name is subscribed to the foregoing instrument personally appeared, and acknowledged to me that he or she
executed the same as the act and deed of the above referenced bank, for the purposes and considerations therein expressed and in
the capacity therein stated.
SIGN
S E A L HERE:
(Notary Public in and for the State of Texas)
FOR APPLICANT
SIGN
HERE
(Signature of Applicant)
Before me, the undersigned authority, on this day of A.D.,
the applicant whose name is subscribed to the foregoing instrument personally appeared, and acknowledged to me that he or she
executed the same for the purposes and considerations therein expressed.
SIGN
S E A L HERE
(Notary Public in and for the State of Texas)
INSTRUCTIONS
(1) Irrevocable Letter of Credit number
(2) Name of Applicant:
IF: Corporation ----------- Corporate name must be shown
Partnership ----------- All partners’ names must be shown
Limited Partnership - Name of limited partnership and general partner must be shown
Private Club ---------- Name of the club must be shown(If Corporation-Corporate name)
Proprietorship -------- Name of individual must be shown
(6) Type of Permit- (Mixed Beverage Permit, All Types of
Private Club Permits, Package Store Permit, Wine
Only Package Store Permit, Wine and Beer
Retailer’s Permit, Beer Retail Dealer’s On-Premise
License, Wine & Beer Retailer’s Off-Premise Permit,
Wine & Beer Retailer’s Permit-Railway Car, Wine &
Beer Retailer’s Permit-Excursion Boat)
Limited Liability Partnership Name of limited liability partnership and all partner’s names must be shown
Limited Liability Company ----- Name of limited liability company must be
shown
(3) Trade Name of Business
(4) Actual Business Address (Not Mail Address)
(5) City of Business Location
(7) License/Permit Number, If Issued
(8) Amount ($5,000/$10,000)
(9) Name of Bank
(10) Expiration Date (Must be 42 months from date of issue)
THIS FORM WILL NOT BE ACCEPTED WITH ANY WHITEOUTS OR ALTERATIONS.
NOTARIZED AMENDMENTS FROM BANK WILL BE ACCEPTED TO CORRECT ERRORS NOTED BY THE COMMISSION.
TABC
USE
ONLY
Date/Signature of Personnel Verifying Bank Information:
Name of Bank Personnel Contacted:
Page 1 of 2 Form L 2-62.2 (01/2018)
A S S I G N M E N T
(FOR CONDUCT SURETY PURPOSES ONLY)
L 2-62.2
(01/2018)
(1) 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 (5)
in the amount of (6) $ 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 (4) of the assignment.
SIGN
Date HERE
(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)
(Title of Bank Officer)
Name of Bank
Address
City, State, Zip
Area Code & Phone No.
INSTRUCTIONS
(1) Name of Applicant: IF: Corporation ------------------------------------ Corporate name must be shown
Partnership ------------------------------------ All partners’ names must be shown
Limited Partnership -------------------------- Name of limited partnership and general partner must be shown
Private Club ----------------------------------- Name of the club must be shown-(If Corporation-Corporate name)
Proprietorship --------------------------------- Name of individual must be shown
Limited Liability Partnership --------------- Name of limited liability partnership and all partners’ names must be shown
Limited Liability Company ----------------- Name of limited liability company must be shown
(2) Trade Name of Business (6) Amount in words and figures
(3) Actual Business Address and City (Not Mail Address) (7) Number of C.D. or Savings Account
(4) Name of Bank, association or credit union (8) Name of U.S. Agency insuring deposit
(5) Description of automatically renewable time Certificate of Deposit or Savings Account (9) Bank, association or credit union
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.
Page 2 of 2 Form L 2-62.2 (01/2018)
ACKNOWLEDGMENTS
No. 1 (FOR ASSIGNOR)
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 day of A.D.,
SIGN
HERE
(S E A L) Notary Public
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 day of A.D.,
SIGN
HERE
(S E A L) Notary Public
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.
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.
INFORMATION
1. As required under Section 11.11 and 61.13, 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.
Page 1 of 2 Form L 2-63 (01/2018)
PERFORMANCE BOND
L 2-63
(01/2018)
BOND NUMBER
(1)
KNOW ALL MEN BY THESE PRESENTS:
(For Surety Company’s Use)
THAT WE, (2)
as PRINCIPAL, and (3)
as SURETY, duly authorized and qualified to do business as a surety company in this State, are firmly bound unto THE
STATE OF TEXAS in sum of (4)
dollars payable at Austin, Travis County, Texas, and for the payment of which, well and truly to be made, PRINCIPAL
binds himself, his heirs, executors and administrators, jointly and severally, or itself, its successors and assigns, and the
SURETY binds itself, its successors and assigns, firmly by these presents.
WHEREAS, PRINCIPAL is the holder of (5)
(Type of Permit/License See reverse side)
granted the privileges by said permit to be exercised in the city of (6)
(If not located in a city/town, leave blank and insert county name in #7)
(7) County, Texas, pursuant to the provisions of the Texas Alcoholic Beverage Code.
NOW, THEREFORE, THE CONDITION OF THE OBLIGATION is such that the Principal 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 bond shall be paid to the
state, SUBJECT, HOWEVER, to the following terms and conditions:
1. This bond shall become effective on the date of the issuance of above permit or license by the Texas Alcoholic
Beverage Commission and shall remain in full force and effect until cancelled, and thereinafter provided, or until
such permit or license and succeeding renewals of the permit or license have expired.
2. This bond may be cancelled as to liability for future defaults at any time by the SURETY, upon giving thirty (30)
days written notice, in which event the liability of the SURETY shall at the expiration of said thirty (30) days,
cease and terminate, it being understood that the SURETY shall be liable for the default of the PRINCIPAL in
fully discharging any liability on his or its part as above set forth, accruing during the life of the permit or license,
and while this bond is in full force and effect.
3. The liability of the SURETY shall not exceed the amount above stated.
PRINCIPAL
SURETY COMPANY
IN TESTIMONY, WHEREOF, said PRINCIPAL has
hereunto subscribed his or their names or has cause this
instrument to be signed by its duly authorized officers and
its corporate seal to be hereunto affixed this date:
A.D.,
SIGN
HERE
(Signature of Principal)
PRINCIPAL MUST BE SHOWN AS: WHO MUST SIGN:
IN TESTIMONY WHEREOF, said SURETY has
caused this instrument to be signed by it duly authorized
officers and its corporate seal to be hereunto affixed date:
A.D.,
SIGN
HERE
(Signature of Attorney-in-Fact for Surety Company)
(Surety Company Name)
(Surety Company Mailing Address)
(Surety Company Area Code and Phone Number)
(Agent’s Area Code and Phone Number)
Proprietorship-individual owner
-individual
Partnership-all partners’ names
-partner
Corporation-corporate name
-officer
Limited partnership-partnership name & general partner
-general partner
Limited liability partnership-partnership name & all partners
-general partner
Limited liability company-company name
-officer/manager
Private Club-club name, if corporation, corporate name
-officer
(COMPLETE NEXT PAGE)
Page 2 of 2 Form L 2-63 (01/2018)
ACKNOWLEDGMENTS
No. 1 (FOR PRINCIPAL)
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 Principal)
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 date A.D.,
SIGN
(S E A L) HERE
Notary Public
No. 2 (FOR SURETY COMPANY)
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 Attorney-in-Fact)
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 date A.D.,
SIGN
(S E A L) HERE
Notary Public
NO. 1 PRINCIPAL-ACKNOWLEDGMENT
Name of principal who signed the bond must be shown.
Notary public must date, sign the acknowledgment and affix
notary seal.
NO. 2 SURETY COMPANY-ACKNOWLEDGMENT
Name of attorney-in-fact who signed the bond must be shown.
Notary Public must date sign the acknowledgment and affix
notary seal.
I N S T R U C T I O N S
1. As required under Section 11.61(23)(b-1), of the Texas Alcoholic Beverage Code, this bond must accompany all
original applications and renewal applications for the licenses/permits listed below if you are located in a County
with a population of 1.4 million or more (Bexar, Dallas, Harris, and Tarrant Counties) unless you are an
establishment, which holds a Food and Beverage Certificate, whose primary business is food service.
Type of Permit
Bond Amount
Wine and Beer Retailer’s Permit (BG)
Beer Retailer’s On Premise License (BE)
$2,000 or $4,000 or $6,000*
$2,000 or $4,000 or $6,000*
*An initial Performance Bond in the amount of $2,000 is required. In the event the first bond is forfeited to the
Commission, a licensee or permittee must file a second bond in the amount of $4,000 before a license or permit
may be reinstated. In the event the second bond is forfeited to the Commission, a licensee or permittee must file a
third bond in the amount of $6,000 before a license or permit may be reinstated.
NOTE: Bond will remain posted unless forfeited, or until license/permit is expired, or voluntarily cancelled.
2. On the face of the bond: No. (1) must indicate bond number, No. (5) type of permit as shown above
No. (2) name of principal, No. (6) city of business location
No. (3) the surety company name, No. (7) county of business location.
No. (4) bond amount,
3. Ensure the principal date is entered and the principal has signed the bond.
4. The attorney-in-fact must date the bond; sign his/her name, enter surety company name, surety mailing address
and surety telephone number.
5. Power of Attorney authorizing attorney-in-fact to sign for surety company must be attached.
6. This form will not be accepted with any alterations or whiteouts on the face of the bond. Bond riders will be
accepted from bonding company to correct errors noted by the Commission. Corrections in the acknowledgments
will be accepted if the notary public has initialed the correction made thereon.
Page 1 of 1 Form L 2-64 (01/2018)
IRREVOCABLE LETTER OF CREDIT
(For Performance Bond Purposes Only)
L 2-64
(01/2018)
Irrevocable Letter of Credit No.
(1)
We hereby establish our irrevocable letter of credit in favor of the State of Texas for the account of (2)
doing business as (3)
located (4) , (5) , Texas,
under (6) license/permit (7)
This letter of credit is effective up to the aggregate amount of (8)
This letter of credit shall remain in effect until the (9) is
released or discharged by the Texas Alcoholic Beverage Commission.
This is your authority to draw drafts for the full amount of (8) . The condition of the
obligation of this letter of credit 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 letter of credit shall be paid to the state.
All drafts are to be marked “Drawn under Letter of Credit No. (1) .”
FOR BANK
SIGN
HERE
(Signature of Bank Officer)
(Title of Bank Officer)
Name of Bank
Address
City, State, Zip
Area Code + Phone No.
Before me, the undersigned authority, on this day of A.D.,
the bank officer whose name is subscribed to the foregoing instrument personally appeared, and acknowledged to me that he or she executed the
same as the act and deed of the above referenced bank, for the purposes and considerations therein expressed and in the capacity therein stated.
SIGN
S E A L HERE:
(Notary Public in and for the State of Texas)
FOR APPLICANT
SIGN
HERE
(Signature of Applicant)
Before me, the undersigned authority, on this day of A.D.,
the applicant whose name is subscribed to the foregoing instrument personally appeared, and acknowledged to me that he or she executed the same
for the purposes and considerations therein expressed.
SIGN
S E A L HERE
(Notary Public in and for the State of Texas)
INSTRUCTIONS
(1) Irrevocable Letter of Credit number
(2) Name of Applicant:
IF: Corporation Corporate name must be shown
Partnership All partners’ names must be shown
Limited Partnership Name of limited partnership and general partner must be shown
Private Club Name of the club must be shown(If Corporation-Corporate name)
Proprietorship Name of individual must be shown
Limited Liability Partnership Name of limited liability partnership and all partner’s names must
be shown
Limited Liability Company Name of limited liability company must be shown
(3) Trade Name of Business
(4) Actual Business Address (Not Mail Address)
(5) City of Business Location
(6) Type of Permit- (Wine and Beer Retailer’s Permit (BG), Beer Retail Dealer’s On-Premise License
(BE)) located in a County with a population of 1.4 million or more (Bexar, Dallas, Harris and Tarrant
Counties) unless you hold a Food and Beverage Certificate, and primary business is food service or
fraternal or veterans organizations as defined by Section 32.11 of the Texas Alcoholic Beverage Code.
(7) License/Permit Number, If Issued
(8)
Amount ($2,000/$4,000/$6,000)
(9)
Name of Bank
* Performance Bond remains in effect
unless replaced or forfeited.
THIS FORM WILL NOT BE ACCEPTED WITH ANY WHITEOUTS OR ALTERATIONS.
NOTARIZED AMENDMENTS FROM BANK WILL BE ACCEPTED TO CORRECT ERRORS NOTED BY THE COMMISSION.
TABC
USE
ONLY
Date/Signature of Personnel Verifying Bank Information:
Name of Bank Personnel Contacted:
Page 1 of 2 Form L 2-65 (01/2018)
A S S I G N M E N T
( F O R P E R F O R M A N C E B O N D P U R P O S E S O N L Y )
L 2-65
(01/2018)
(1) 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 (5)
in the amount of (6) $ numbered (7)
Assignor agrees that 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 (4) of the assignment.
SIGN
Date HERE
(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)
(Title of Bank Officer)
Name of Bank
Address
City, State, Zip
Area Code & Phone No.
INSTRUCTIONS
(1) Name of Applicant: IF: Corporation ------------------------------------ Corporate name must be shown
Partnership ------------------------------------ All partners’ names must be shown
Limited Partnership -------------------------- Name of limited partnership and general partner must be shown
Private Club ----------------------------------- Name of the club must be shown-(If Corporation-Corporate name)
Proprietorship --------------------------------- Name of individual must be shown
Limited Liability Partnership --------------- Name of limited liability partnership and all partners’ names must be shown
Limited Liability Company ----------------- Name of limited liability company must be shown
(2) Trade Name of Business (10) An initial Performance Bond in the amount of
(3) Actual Business Address and City (Not Mail Address) of $2,000 is required. In the event the first bond
(4) Name of Bank, association or credit union is forfeited to the Commission, a licensee or
(5) Description of automatically renewable time Certificate of Deposit or Savings Account permittee must file a second bond in the amount of
(6) Amount in words and figures ($2,000/$4,000/$6,000) $4,000 before a license or permit may be reinstated.
(7) Number of C.D. or Savings Account In the event the second bond is forfeited to the
(8) Name of U.S. Agency insuring deposit Commission, a licensee or permittee must file a
(9) Bank, association or credit union third bond in the amount of $6,000 before a license
or permit may be reinstated.
Page 2 of 2 Form L 2-65 (01/2018)
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.
ACKNOWLEDGMENTS
No. 1 (FOR ASSIGNOR)
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 day of A.D.,
SIGN
HERE
(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 day of A.D.,
SIGN
HERE
(S E A L) Notary Public in and for the State of Texas
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.
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.
INFORMATION
1. As required under Section 11.61(23)(b-1), of the Texas Alcoholic Beverage Code, this assignment form may only
be used for Performance Bond purposes if located in a County with a population of 1.4 million or more (Bexar,
Dallas, Harris, and Tarrant Counties) unless you are an establishment, which holds a Food and Beverage
Certificate, whose primary business is food service, and the certificate of deposit or savings account must be
issued by a Texas bank, or savings institution.
2. Upon expiration of a license or permit, or its voluntary cancellation, 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, or savings institution is not
released from its obligation until they receive written notice of the release from this agency.