NPM Manufacturing Quarterly Certification

NON-PARTICIPATING MANUFACTURER QUARTERLY CERTIFICATION FORM. This form is used in the State of Arkansas by tobacco product manufacturers that are not part of the national tobacco settlement agreement. This form ensures that such manufacturers report their cigarette or roll-your-own tobacco sales in Arkansas each quarter and make the required escrow deposits in compliance with state law. Manufacturers must provide detailed information about their business, the brand families sold, the number of units sold, and the qualified escrow account into which funds are deposited. The form also requires confirmation of bonding compliance, disclosure of any criminal activity related to tobacco sales or taxation, and updates on directory status to ensure only approved brands remain available for sale in the state. An account statement or letter from the escrow agent must be attached to verify deposits. By submitting this form, NPMs certify their compliance with Arkansas escrow requirements under tobacco control laws, helping the state safeguard funds for future health-related costs and ensuring accountability in the tobacco marketplace. www.FormsWorkflow.com