2024 Non Participating Manufacturers Quarterly Certification

NON-PARTICIPATING TOBACCO MANUFACTURER'S CERTIFICATE OF COMPLIANCE WITH QUARTERLY ESCROW PAYMENT REQUIREMENT ON SALES IN 2024. This is a mandatory form used by non-participating tobacco product manufacturers (NPMs) who sell cigarettes or "roll-your-own" (RYO) tobacco in the State of Oklahoma. This form ensures compliance with Oklahoma's escrow requirements under state law. NPMs that have not joined the Tobacco Master Settlement Agreement (MSA) must make quarterly escrow payments based on the number of tobacco units they sell in Oklahoma. The form requires manufacturers to provide detailed information, including their company name, contact information, brands sold, and manufacturing locations. They must report the number of cigarette and RYO tobacco units sold in the state during the relevant quarter and calculate the escrow payment due by applying state-mandated per-unit rates and inflation adjustments. The manufacturer must also identify the financial institution holding the escrow funds and confirm the amount deposited. An authorized company agent must sign the form under penalty of perjury, and the document must be notarized. The notarized certificate, along with proof of the escrow deposit, must be submitted to the Office of the Oklahoma Attorney General by specific quarterly deadlines to maintain the company’s legal authorization to sell tobacco products in the state. www.FormsWorkflow.com