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This document serves as a certification for non-participating tobacco product manufacturers to report their sales and escrow payment obligations in the state of Georgia for a specified sales year
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How to fill out certificate of non-participating manufacturer

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How to fill out CERTIFICATE OF NON-PARTICIPATING MANUFACTURER REGARDING QUARTERLY ESCROW PAYMENT

01
Obtain the CERTIFICATE OF NON-PARTICIPATING MANUFACTURER form.
02
Fill out the manufacturer’s name and contact information at the top of the form.
03
Indicate the specific quarter for which the escrow payment is being reported.
04
State that the manufacturer is not participating in the escrow program.
05
Include any relevant identification numbers, such as tax ID or manufacturer ID numbers.
06
Sign and date the form at the bottom.
07
Submit the completed certificate to the relevant regulatory authority or agency.

Who needs CERTIFICATE OF NON-PARTICIPATING MANUFACTURER REGARDING QUARTERLY ESCROW PAYMENT?

01
Manufacturers who do not participate in the escrow payment program for regulatory compliance.
02
Companies that need to certify their non-participation for legal or financial documentation.
03
Businesses seeking to maintain transparency with regulatory bodies regarding their payment status.
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The Certificate of Non-Participating Manufacturer Regarding Quarterly Escrow Payment is a document that non-participating tobacco manufacturers must submit to certify that they are not required to make certain escrow payments for the specified quarter.
Non-participating manufacturers of tobacco products, who do not enter into a Master Settlement Agreement with certain state governments, are required to file this certificate.
To fill out the certificate, manufacturers must provide their company details, specify the quarter for which the certification is being made, and affirm that no escrow payment is required for that period due to non-participation.
The purpose is to ensure compliance with state laws regarding tobacco manufacturing and sales, and to provide transparency about the financial obligations of non-participating manufacturers.
The certificate must report the name and address of the manufacturer, the period covered, the declaration of non-participation, and details of any escrow payments made or required.
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