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AG NPM-S with Sales Addendum LY2022 updated 3.1.23.pdf
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....
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AG NPM-R Reconciliation Affidavit LY2023 updated 3.1.24.pdf
liability period, the inflation adjustment percentage is 130.36796 percent (multiplier of 1.3036796).
4 The total amount to be paid into the escrow account by the manufacturer identified
above (the total of Lines 2 and 3) for this liability year. 4 $
5...
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AG NPM-R Reconciliation Affidavit LY2022 updated 3.1.23.pdf
liability period, the inflation adjustment percentage is 122.89621 percent (multiplier of 1.2289621).
4 The total amount to be paid into the escrow account by the manufacturer identified
above (the total of Lines 2 and 3) for this liability year. 4 $
5...
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AG NPM-R Reconciliation Affidavit LY2021 updated 3.3.22.pdf
liability period, the inflation adjustment percentage is 109.38187 percent (multiplier of 1.0938187).
4 The total amount to be paid into the escrow account by the manufacturer identified
above (the total of Lines 2 and 3) for this liability year. 4 $
5...
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AG NPM-Q LY2023 updated 3.1.24.pdf
Name of Financial Institution (Escrow Agent)
Mailing Address
City State Zip Code
Phone Fax
Contact Person Contact E-Mail
Escrow Account Number Total amount held in this account for the State of Illinois
$
Illinois Sub-Account Number
Part 5: Worksheet...
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AG NPM-Q LY2022 updated 3.1.23.pdf
Name of Financial Institution (Escrow Agent)
Mailing Address
City State Zip Code
Phone Fax
Contact Person Contact E-Mail
Escrow Account Number Total amount held in this account for the State of Illinois
$
Illinois Sub-Account Number
Part 5: Worksheet...
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AG NPM-Q LY2021 updated 3.1.22.pdf
Name of Financial Institution (Escrow Agent)
Mailing Address
City State Zip Code
Phone Fax
Contact Person Contact E-Mail
Escrow Account Number Total amount held in this account for the State of Illinois
$
Illinois Sub-Account Number
Part 5: Worksheet...
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AG NPM-PACT updated 3322.pdf
Provide the mode of delivery, including the name and address of the person delivering the cigarettes or other tobacco
products into Illinois and other states
Part 5: Miscellaneous Information
1....
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AG NPM-PACT updated 3.1.23.pdf
Provide the mode of delivery, including the name and address of the person delivering the cigarettes or other tobacco
products into Illinois and other states
Part 5: Miscellaneous Information
1....
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AG NPM-F LY2023 updated 3.1.2024.pdf
. §1681a (c)(2) regarding the
precise format of warnings and that the importer has complied, and will continue to comply, with a rotation plan
approved by the Federal Trade Commission.
5....
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AG NPM-F LY2022 updated 3.1.2023.pdf
. §1681a (c)(2) regarding the
precise format of warnings and that the importer has complied, and will continue to comply, with a rotation plan
approved by the Federal Trade Commission.
5....
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AG NPM-F LY2021 updated 3.3.22.pdf
. §1681a (c)(2) regarding the
precise format of warnings and that the importer has complied, and will continue to comply, with a rotation plan
approved by the Federal Trade Commission.
5....
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AG NPM-3 LY2022 updated 3.1.2023.pdf
State of Illinois
Non-Participating Manufacturer
Certification of Additional Information
NPM-3
p. 1 of 5
Part 1: Liability Year and Type of Certification
Liability Year for this Certification: Complete a separate form for...
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AG NPM-3 LY2021 updated 3.3.22.pdf
State of Illinois
Non-Participating Manufacturer
Certification of Additional Information
NPM-3
p. 1 of 5
Part 1: Liability Year and Type of Certification
Liability Year for this Certification: Complete a separate form for...
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AG NPM-3 LY 2023 updated 6.27.23.pdf
State of Illinois
Non-Participating Manufacturer
Certification of Additional Information
NPM-3
p. 1 of 5
Part 1: Liability Year and Type of Certification
Liability Year for this Certification: Complete a separate form for...
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AG NPM-2 LY2023 updated 3.1.24.pdf
Part 4: Agent Appointed for Service of Process
Company Contact Name
Physical Address
City State Zip Code
Mailing Address
City State Zip Code
Phone Fax E-Mail
Availability of Agent (hours of business)
Part 5: Manufacturer Certification
Under...
-
AG NPM-2 LY2022 updated 3.1.23.pdf
Part 4: Agent Appointed for Service of Process
Company Contact Name
Physical Address
City State Zip Code
Mailing Address
City State Zip Code
Phone Fax E-Mail
Availability of Agent (hours of business)
Part 5: Manufacturer Certification
Under...
-
AG NPM-2 LY2021 updated 3.2.22.pdf
Part 4: Agent Appointed for Service of Process
Company Contact Name
Physical Address
City State Zip Code
Mailing Address
City State Zip Code
Phone Fax E-Mail
Availability of Agent (hours of business)
Part 5: Manufacturer Certification
Under...
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AG NPM-1 LY 2023 updated 3.1.24.pdf
Packaging provided for cigarettes must reflect compliance with the Cigarette Fire
Safety Standard Act (425 ILCS §8/1, et seq.). Submit new packaging each time you change your packaging or add new
brand families....
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AG NPM-1 LY 2022 updated 3.1.23.pdf
Packaging provided for cigarettes must reflect compliance with the Cigarette Fire
Safety Standard Act (425 ILCS §8/1, et seq.). Submit new packaging each time you change your packaging or add new
brand families....