Fillable Form TPM-1, Certification of Compliance and Affidavit by Nonparticipating Manufacturer. Certification of Compliance and Affidavit by Nonparticipating Manufacturer

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State of Connecticut Form TPM-1 (Rev. 03/06) Calendar Year 2005 Certification of Compliance and Affidavit by Nonparticipating Manufacturer Cigarettes Sold to Consumers Within Connecticut During Calendar Year 2005 Important: Complete the form in black or blue ink only. An authorized agent of the nonparticipating manufacturer must complete and sign Part I before a notary public. The nonparticipating...
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