Last updated: 4/2/2025
Certification Of Compliance By Nonparticipating Manufacturer (NPM) {3762}
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Description
3762 -- 2025 QUARTERLY CERTIFICATION OF COMPLIANCE BY NON-PARTICIPATING MANUFACTURER (NPM). This is a mandatory form for tobacco product manufacturers who are not participating in the Master Settlement Agreement. It certifies that the NPM has established a qualified escrow account and made the required deposits for the relevant calendar quarter. The form includes sections for identifying the NPM, specifying the applicable calendar quarter, certifying compliance, and signing under penalty of perjury. It must be mailed to both the Michigan Department of Treasury and the Office of Attorney General. www.FormsWorkflow.com





