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Get the free Certificate of Compliance by Non-Participating Manufacturer Regarding Escrow Payment

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This document serves as a certificate for non-participating tobacco product manufacturers to report their sales and escrow payments related to tobacco products sold in the State of Indiana.
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How to fill out Certificate of Compliance by Non-Participating Manufacturer Regarding Escrow Payment

01
Obtain the Certificate of Compliance form from the relevant regulatory authority.
02
Fill in the manufacturer’s name, address, and contact information at the top of the form.
03
Specify the time period for which the escrow payment is being made.
04
Provide details of the products manufactured, including product names and descriptions.
05
Calculate the escrow payment amount based on sales data for the specified period.
06
Include a statement regarding compliance with state laws and regulations.
07
Sign and date the form to certify that the information provided is accurate.
08
Submit the completed form along with the escrow payment to the appropriate state authority.

Who needs Certificate 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 law.
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It is a legal document that certifies a non-participating tobacco manufacturer has made the required payments into an escrow account, as mandated by state law, to cover potential future liabilities related to tobacco products.
Non-participating manufacturers, which are companies that do not participate in the Master Settlement Agreement with state governments, are required to file this certificate.
To fill out the certificate, manufacturers must provide information regarding their compliance status, details of their escrow account, the amount paid, and any pertinent legal identifiers such as their business name and registration details.
Its purpose is to ensure that non-participating manufacturers are held financially accountable for the impact of tobacco sales, specifically guaranteeing that funds are available to cover future claims related to tobacco-related health issues.
The certificate must report the manufacturer's name, address, the total amount deposited into the escrow account, the account details, and the period covered by the payments. Also, it may require certification statements and signatures.
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