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This affidavit serves to certify compliance by any tobacco product manufacturer that sells cigarettes in New Hampshire but is not a participating manufacturer in the tobacco Master Settlement Agreement.
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How to fill out quarterly certification of compliance

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How to fill out Quarterly Certification of Compliance by Non-Participating Manufacturer Regarding Escrow Payment

01
Obtain the Quarterly Certification of Compliance form from the relevant authority or website.
02
Fill out your company name and address in the specified sections.
03
Provide accurate details of the brands and products manufactured during the quarter.
04
Report the total sales of each brand during the quarter.
05
Calculate the total escrow payment required based on the sales figures.
06
Include any additional information or disclosures as requested in the form.
07
Review the completed form for accuracy and completeness.
08
Sign and date the form where indicated.
09
Submit the form by the specified deadline to the appropriate authority or escrow agent.

Who needs Quarterly Certification of Compliance by Non-Participating Manufacturer Regarding Escrow Payment?

01
Non-participating manufacturers of tobacco products who are required to make escrow payments under state laws.
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It is a document that Non-Participating Manufacturers (NPMs) must file to certify their compliance with state regulations, particularly regarding the payment of escrow funds intended for the state's tobacco control programs.
Non-Participating Manufacturers (NPMs) who sell tobacco products in states that require escrow payments are required to file this quarterly certification.
The form must be filled out by providing accurate information regarding the number of units sold, escrow payment amounts, and other details as mandated by state laws. It often requires calculations based on sales volume and existing escrow agreements.
The purpose is to ensure that NPMs are compliant with state laws regarding escrow payments, thereby contributing to state tobacco control programs and protecting public health.
The report typically requires the total number of cigarettes sold in the state during the quarter, the amount of escrow payment made, and any outstanding escrow obligations. Additional details may include company identification and compliance statements.
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