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Non-Participating Manufacturers Sales Information NPM-S - New Jersey
| Non-Participating Manufacturers Sales Information Form. This is a New Jersey form and can be used in Tobacco Enforcement Office Of The Attorney General Statewide . |
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State of New Jersey Non-Participating Manufacturer's Sales Information NPM-S M anufacturer Identification Company Name Mailing Address City Phone Name and title of person completing this form State Zip Code Fax Country Date M ail-to Address Name Mailing Address City Phone (if different from above) State Fax Zip Code E-Mail Country Certification Year for sales made in 2012 2013 Other: Instructions for the M anufacturer ("You"): (Attach Addendum pages as necessary) Instructions for the M anufacturer: List each distributor, wholesale dealer and retailer which sells your product(s) in the State of New Jersey. For each distributor, wholesale dealer and retailer, provide the sales volume according to your records for each brand name and family for the liability year and provide copies of invoices or other documents that support the sales volume listed. In addition, provide the name, address, and phone number for the contact person at each distributor, wholesale dealer and retailer provided. Finally provide information regarding flavoring; identify flavors other than menthol, clove or tobacco. You must retain all invoices and documentation of sales and other information relied upon for a period of 5 years, unless otherwise required by law to maintain them for a greater period of time. Distributor / Wholesale dealer / Retailer Brand Name Brand Family Check One Flavoring* (Identify flavors other than Menthol, Clove or Tobacco) 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO *In no event shall cigarettes or any component part thereof that causes a cigarettes or smoke from that product to have a characterizing flavor other than tobacco, clove or menthol to be sold or advertised in this State. N.J.S.A. 2A: 170-51.6 American LegalNet, Inc. www.FormsWorkFlow.com State of New Jersey Non-Participating Manufacturer's Sales Information NPM-S Sales Addendum Distributor / Wholesale dealer / Retailer Brand Name Brand Family Check One Flavoring* (Identify flavors other than Menthol, Clove or Tobacco) 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO 9 Cigarette 9 RYO *In no event shall cigarettes or any component part thereof that causes a cigarettes or smoke from that product to have a characterizing flavor other than tobacco, clove or menthol to be sold or advertised in this State. N.J.S.A. 2A: 170-51.6 American LegalNet, Inc. www.FormsWorkFlow.com
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