Compliance Certification (Quarterly Deposits Cigarette Sales)

COMPLIANCE CERTIFICATION BY NON-PARTICIPATING MANUFACTURER (QUARTERLY DEPOSITS MADE FOR 2023 CIGARETTE TOBACCO SALES). This form is used by non-participating tobacco product manufacturers to certify compliance with Virginia's escrow deposit requirements for cigarette and roll-your-own (RYO) tobacco sales. Under Virginia law, non-participating manufacturers—those who are not part of the Master Settlement Agreement (MSA)—must make quarterly escrow deposits based on the number of cigarette units sold in the state. The form requires manufacturers to report their sales figures, calculate the required escrow deposit based on projected and actual inflation-adjusted rates, and provide proof of escrow deposits. It collects information about the manufacturer, the financial institution holding the escrow funds, and requires an affidavit from an authorized company officer affirming the accuracy of the submission. This compliance certification ensures that manufacturers meet their legal obligations and contribute to escrow funds designed to cover potential public health costs associated with tobacco sales. www.FormsWorkflow.com