Fillable Indiana State 415 23 Form Create Your Indiana State 415 23

Fillable Indiana State 415 23 Form

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.

Ready to fill out the Indiana State 415 23 form? Click the button below to get started!

Create Your Indiana State 415 23

Documents used along the form

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.

  • Application for Permit: This document is submitted to request permission for specific activities, such as construction or excavation. It outlines the details of the project and the applicant's intentions.
  • Certificate of Insurance: This form provides proof of insurance coverage. It protects both the applicant and the state from potential liabilities that may arise during the project.
  • Power of Attorney: This document grants authority to another person to act on behalf of the principal. It is often attached to the bond form to confirm that the surety is authorized to sign on behalf of the principal.
  • Construction Plans: Detailed drawings and specifications of the proposed project are included in this document. They are crucial for the evaluation of the application by the state.
  • Environmental Impact Assessment: This report assesses the potential environmental effects of the proposed project. It ensures that the project complies with state and federal environmental regulations.
  • Notice of Commencement: This document is filed to inform relevant parties that construction is about to begin. It establishes the official start date of the project.
  • Change Order Form: If there are any modifications to the original project plans, this form documents those changes. It is essential for maintaining accurate records and ensuring all parties are informed.
  • Motor Vehicle Bill of Sale: This form is crucial for documenting the sale of a vehicle in Texas, ensuring a legally binding transfer of ownership. For more information, visit legalpdf.org.
  • Completion Certificate: Upon finishing the project, this certificate verifies that all work has been completed according to the approved plans and specifications.
  • Final Inspection Report: This report is generated after a final inspection of the completed project. It confirms compliance with all applicable codes and regulations before the project is officially closed.

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.

Common mistakes

  1. 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.

  2. Incorrect Addresses: Providing incorrect addresses for both the principal and surety can lead to complications. Ensure that all addresses are current and complete.

  3. 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.

  4. Improper Date Format: Using an incorrect date format can cause confusion. Make sure to use the format specified in the instructions.

  5. 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.

  6. Incorrect Bond Amount: Entering an incorrect penal sum can create issues later. Double-check that the amount matches the requirements of the permit.

  7. Failure to Notarize: Notarization is essential for the bond's validity. Ensure that a notary public properly signs and seals the document.

  8. Submitting Incomplete Copies: When submitting the required five copies, ensure that each copy is complete. Incomplete submissions can delay the review process.

Key takeaways

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:

  • Purpose of the Form: The Indiana State 415 23 form serves as a permit bond, ensuring compliance with state regulations when applying for various permits related to construction and excavation.
  • Principal and Surety: The form requires the identification of both the Principal (the applicant) and the Surety (the guarantor). Both parties must provide their addresses clearly.
  • Financial Obligation: The bond specifies a penal sum, which is the maximum amount the Surety will pay in case of noncompliance. This amount must be clearly stated in the form.
  • Conditions of the Bond: The bond becomes void if the Principal fulfills all obligations outlined in the permit, including payment for labor and materials. If not, the bond remains in effect.
  • Legal Liability: Should there be noncompliance, the Surety is responsible for court costs and attorney fees incurred in the collection of the bond, in addition to the penal sum.
  • Notary Requirement: The form must be notarized. This involves the Principal and Surety appearing before a notary public, who will then sign and seal the document.
  • Submission Process: All five copies of the completed form must be submitted to the appropriate permit manager, along with any required application numbers and dates.

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.

Form Breakdown

Fact Name Description
Form Title The form is titled "Permit Bond State Form 415 23".
Approval Authority It is approved by the State Board of Accounts.
Governing Law This form is governed by Indiana law, specifically related to permits issued by the Indiana Department of Transportation.
Purpose The form serves as a bond for various activities including driveway excavation and pole line bridge attachment.
Principal and Surety The form requires the identification of both the Principal (applicant) and the Surety.
Penal Sum The bond includes a penal sum that the Principal and Surety are bound to pay to the State of Indiana.
Conditions of Obligation The bond remains in effect unless the Principal fulfills all obligations under the permit.
Liability Limits The Surety's liability is limited to the penal sum stated in the bond.
Noncompliance Consequences If the Principal does not comply, the Surety may be liable for court costs and attorney fees.
Notary Requirement The bond must be acknowledged before a notary public to be valid.

Check out More Forms

Form Example

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