Mississippi Lottery Retailer Surety Bond Application and Indemnification AgreementJune 8th, 2020
FiledJune 8th, 2020Applicant / Principal Name (exactly as it needs to appear on the bond): Bond Amount $: Effective Date: Expiration Date: Applicant / Principal Address (P.O. Box not acceptable): County: Lottery Retailer Physical Location: IMPORTANT: Signature Instructions – No missing signature shall invalidate this agreement. Sole Proprietorship – Owner must sign below. Partnership – Partners are signing as authorized agents of the partnership & as individually liable Indemnitors. Corporation or LLC – If corporation or LLC, a corporate officer or managing member must sign.