The Indiana State 415 23 form is a permit bond used for various construction and excavation projects in Indiana. It ensures that the principal, or applicant, will fulfill their obligations under the permit issued by the Indiana Department of Transportation. Completing this form is essential for compliance and protecting the interests of all parties involved.
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The Indiana State Form 415 23, also known as the Permit Bond, is an essential document for individuals or businesses seeking to perform certain activities that require state approval. However, several other forms and documents often accompany this permit bond to ensure compliance with regulations and to facilitate the permitting process. Below is a list of related documents that may be required or beneficial in conjunction with the Indiana State Form 415 23.
Understanding these documents can streamline the permitting process and ensure compliance with state regulations. Each form plays a significant role in protecting all parties involved and facilitating a successful project outcome. Proper preparation and submission of these documents can help avoid delays and legal complications.
Incomplete Information: One of the most common mistakes is leaving sections of the form blank. Every field must be filled out accurately to avoid delays in processing.
Incorrect Addresses: Providing incorrect addresses for both the principal and surety can lead to complications. Ensure that all addresses are current and complete.
Missing Signatures: Failing to sign the form can invalidate it. Both the principal and surety must sign the document for it to be legally binding.
Improper Date Format: Using an incorrect date format can cause confusion. Make sure to use the format specified in the instructions.
Omitting the Power of Attorney: If the surety is a corporation, it must attach a Power of Attorney. Neglecting this step can result in the bond being rejected.
Incorrect Bond Amount: Entering an incorrect penal sum can create issues later. Double-check that the amount matches the requirements of the permit.
Failure to Notarize: Notarization is essential for the bond's validity. Ensure that a notary public properly signs and seals the document.
Submitting Incomplete Copies: When submitting the required five copies, ensure that each copy is complete. Incomplete submissions can delay the review process.
When dealing with the Indiana State 415 23 form, understanding its purpose and proper usage is essential. Here are some key takeaways to keep in mind:
Being thorough and accurate while filling out the Indiana State 415 23 form is crucial to avoid delays or complications in the permit approval process. Make sure all information is correct and complete before submission.
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For those looking to streamline their vehicle transactions, an organized approach is essential, and a detailed Motorcycle Bill of Sale document can significantly aid in that process. You can find a helpful template at effective Ohio motorcycle bill of sale that simplifies the creation of this important agreement.
Paternity Affidavit - Completing the affidavit helps secure child support and custody rights.
Indiana State Tax Forms - City, state, province, and zip code details are required for both addresses.
PERMIT BOND
State Form 415 23 (R4 / 3-00)
Approved by State Board of Accounts, 2000
STATE OF INDIANA
DEPARTMENT OF TRANSPORTATION
Driveway
Excavation
Pole Line
Bridge Attachment
Misc.____________________
Know all men by these presents that we, the Undersigned _________________________________________
(address) ___________________________________________________________________as Principal and
_________________________________________________________________________________________
(address) ___________________________________________________________________as Surety, are
hereby held and firmly bound unto the State of Indiana in the penal sum of ____________________ , for the
payment of which well and truly to be made, we hereby jointly and severally bind ourselves, our heirs, executors, administrators successors and assigns:
DATED THIS ____________________________________ .
The conditions of the above obligation are such that, whereas, the above named _______________________
did on ____________________________________ make application for a permit with the State of Indiana for:
__________________________________________________________________________________________
which permit is made a part of this bond the same as though set forth herein.
Now, if said ________________________________________ (Principal - Applicant) shall well and faithfully do
and perform the things agreed by the _________________________________________ (Principal - Applicant)
to be done and performed according to the terms of said permit and to the satisfaction of the Indiana Department of Transportation, and shall pay all lawful claims of the contractor, vendors and laborers for labor performed and materials furnished, or other services rendered in the carrying forward, performing and completing of said permit, (on file with the Department of Transportation), then this obligation shall be void, otherwise the same shall remain in full force and effect, it being expressly understood and agreed that the liability of the Surety for any and all claims hereunder except as provided below shall in no event exceed the penal sum of this obligation as herein stated. In event of noncompliance the surety shall be liable for the court costs and attorney fees spent in the collection of this bond over and above the penal sum of this obligation.
IN WITNESS WHEREOF, we hereunto set our hands and seals this _________________________ day of
___________________, 20 ____
__________________________________________
_____________________________________________
Surety
Principal
(Attach Power of Attorney)
State of __________________________________ ,
County of _________________________________ ss:
Personally appeared before me, ____________________________________________________________
______________________________as Principal and______________________________________________
___________________________________as Surety and each acknowledged the execution of the above bond
this___________________day of _______________________ , 20______
Witness my hand and _________________________________seal the said last named date.
My Commission Expires______________________, 20_____
_____________________________________
Notary Public (Written Signature)
I reside in _____________________________County, ______
(State)
Notary Public (Printed or Typed Name)
Bond number
NOTICE OF TERMINATION OF LIABILITY
□COMPLIED □ CANCELLED ___________________________________, 20 _____
DATE
Submit all 5 copies By: ___________________________________________________________________
PERMIT MANAGER
Application number
Road number
County number Received date
Issue date
Permit number