Mississippi Sales Tax Surety Bond

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Sales Tax Surety Bond
Form 72-901MISSISSIPPI DEPARTMENT OF REVENUE

Form 72-901-14-8-000

SALES TAX SURETY BOND
STATE OF MISSISSIPPI

BOND NUMBER

KNOW ALL MEN BY THESE PRESENTS, THAT
Legal/Business Name (Owner's name if sole proprietor)
Trading As

Address

City

State

Zip

As Principal, and
, as Surety, are held and firmly bound
unto the State of Mississippi in the just and full sum of
Dollars ($
), for the payment
when due of sales taxes, damages, interest and penalties which may accrue to the State of Mississippi under Miss Code Ann. § 27-651 et seq., and amendments thereto, for the payment of which taxes, damages, interest and penalties well and truly to be made, we
bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, by these presents.
The condition of this bond is, that:
WHEREAS, by the provisions of Miss. Code Ann. § 27-65-27, as amended, the Commissioner shall require of every person desiring to
engage in business with this state, who maintains no permanent place of business within this state, and of every person desiring to
engage in the business of making retail sale of mobile homes, a cash bond or an approved surety bond in an amount sufficient to cover
twice the estimated tax liability for a period of three months; and the Principal herein desiring to so engage in business of:
Nature of Business

NOW THEREFORE, if the said Principal shall, from the
day of
,
20
, well and truly pay all sales taxes which may accrue to the State of Mississippi on account of said business conducted when
same shall become due and payable, then this obligation is void, otherwise to remain in full force and effect.
PROVIDED, HOWEVER, that no new liability shall accrue under this bond sixty days after receipt by the Obligee of written notice from the
Surety of its desire to cancel this bond.
NOTWITHSTANDING the tax information and return confidentiality provisions contained within Miss Code Ann. § 27-65-1 et seq., § 2767-1 et seq., 27-7-1 et seq., 27-13-1 et seq., 27-7-301 et seq., and 27-55-501 et seq., and to any claim against said surety made by
the Department of Revenue which is covered by this bond.

Witness our signature this

day of

, 20

.

PRINCIPAL:

ATTEST:

SURETY:

Countersigned by:

FOR DOR INTERNAL USE
Filed and approved this

day of

, 20

.

THIS BOND AND POWER OF ATTORNEY FORM SHOULD BE MAILED OR DELIVERED TO YOUR
DESIGNATED DISTRICT OFFICE LISTED ON THE BACK OF THIS FORM. THE ORIGINAL BOND
MUST BE SUBMITTED. COPIES WILL NOT BE ACCEPTED.

DOR District Offices and Service Areas
Determine your District Office by the county where your business is located
Adams, Amite, Claiborne, Copiah, Covington,
Franklin, Forrest, George, Greene, Hancock,
Harrison, Jackson, Jefferson, Jefferson Davis,
Jones, Lamar, Lawrence, Lincoln, Marion,
Pearl River, Perry, Pike, Simpson, Stone,
Walthall, and Wilkinson

Gulf Coast District Office
1141 Bayview Avenue, Suite 400
Biloxi, MS 39530

Alcorn, Benton, Bolivar, Calhoun, Carroll,
Chickasaw, Clay, Coahoma, DeSoto, Grenada,
Itawamba, Lafayette, Lee, Leflore, Marshall,
Monroe, Montgomery, Panola, Pontotoc,
Prentiss, Quitman, Sunflower, Tallahatchie,
Tate, Tippah, Tishomingo, Tunica, Union,
Webster, Yalobusha, and the following cities
in TN:

Hernando District Office
2631 McIngvale Road, Suite 116
Hernando, MS 38632

Ph: (228) 436-0554
Fax: (228) 436-0964

Ph: (662) 449-5150
Fax: (662) 449-5163

Arlington, Bartlett, Collierville, Germantown,
Memphis, Millington

Attala, Choctaw, Clarke, Hinds, Holmes,
Humphreys, Issaquena, Jasper, Kemper,
Lauderdale, Leake, Lowndes, Madison,
Neshoba, Newton, Noxubee, Oktibbeha,
Rankin, Scott, Sharkey, Smith, Warren,
Washington, Wayne, Winston, Yazoo

Meridian District Office
P.O. Box 5794
Meridian, MS 39302
900A Highway 19 South
Meridian, MS 39301
Ph: (601) 483-2273
Fax: (601) 693-2473

Key Terms:
Bond Number: Issued from the Insurance Company
Owner of the Business: Sole Proprietor- the owner's legal name; LLC, Inc, or Partnership- the
legal name of the entity listed on the IRS CP575
Trading As: Doing Business As
Address: Business physical address/location
Principal: Owner's Signature
Attest: Witness to the principal's signature
Surety: Insurance company
Countersigned by: May be used by Insurance company, but may not be required

Extracted from PDF file 2025-mississippi-form-72-901.pdf, last modified April 2023

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More about the Mississippi Form 72-901 Sales Tax TY 2025

We last updated the Sales Tax Surety Bond in March 2026, so this is the latest version of Form 72-901, fully updated for tax year 2025. You can download or print current or past-year PDFs of Form 72-901 directly from TaxFormFinder. You can print other Mississippi tax forms here.

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Other Mississippi Sales Tax Forms:

TaxFormFinder has an additional 36 Mississippi income tax forms that you may need, plus all federal income tax forms.

Form Code	Form Name
Form 72-620	Farmer's Affidavit (Sales Tax Exemption)
Form 72-16-01	Temporary Storage Affidavit (Sales Tax Exemption)
Form 72-16-02	Contractor's Bond Rider
Form 72-315	Certificate of Interstate Sales
Form 72-441	Contractor's Job Bond

Download all MS tax forms View all 37 Mississippi Income Tax Forms

Form Sources:

Mississippi usually releases forms for the current tax year between January and April. We last updated Mississippi Form 72-901 from the Department of Revenue in March 2026.

Show Sources >

About the Sales Tax

Sales taxes are applied to the transfer of goods (and sometimes services) to the end consumer in most of the fifty states, and are collected by the vendor from their customers and remitted to the state taxation department on a regular basis. Therefore, most sales tax related tax forms are applicable to businesses, and not private individuals.

Historical Past-Year Versions of Mississippi Form 72-901

We have a total of five past-year versions of Form 72-901 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2025 Form 72-901

2024 Form 72-901

2023 Form 72-901

2022 Form 72-901

2021 Form 72-901

TaxFormFinder Disclaimer:

While we do our best to keep our list of Mississippi Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.