-
AG Requirements for NPMs updated 3.3.22.pdf
A Reconciliation Affidavit and payment are required for each
year for which you submitted one or more quarterly payments (e.g. if your first quarterly payment was
July 31, 2020, you would reconcile April 15, 2021 for 2020 and again on April 15, 2022 for...
-
AG Requirements for NPMs updated 3.1.24.pdf
A Reconciliation Affidavit and payment are required for each
year for which you submitted one or more quarterly payments (e.g. if your first quarterly payment was
July 31, 2022, you would reconcile April 15, 2023 for 2022 and again on April 15, 2024 for...
-
AG Requirements for NPMs updated 3.1.23.pdf
A Reconciliation Affidavit and payment are required for each
year for which you submitted one or more quarterly payments (e.g. if your first quarterly payment was
July 31, 2021, you would reconcile April 15, 2022 for 2021 and again on April 15, 2023 for...
-
AG Requirements for NPMs updated 1.24.2025.pdf
A Reconciliation Affidavit and payment are required for each
year for which you submitted one or more quarterly payments (e.g. if your first quarterly payment was
July 31, 2023, you would reconcile April 15, 2024 for 2023 and again on April 15, 2025 for...
-
AG PM-LC updated 1.24.25.pdf
Distributor
Number of
Cigars per
pack
Sticks Sold
Stamped
Unstamped OTP
tax paid
Unstamped Cig
tax paid
Rev. 01/24/2025...
-
AG PM-1 Brand Addendum LY2024 updated 1.24.2025.pdf
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
☐ Cigarette ☐ RYO ☐ Cigarette ☐ RYO
Rev. 01/24/2025...
-
AG NPM-S with Sales Addendum LY2024 updated 1.24.2025.pdf
Manufacturer’s Records
Distributors Reported
as of:
(AG Use Only)
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
Total of RYO Ounces
Total of Cigarette Sticks
Rev. 01/24/2025...
-
AG NPM-R Reconciliation Affidavit LY2024 updated 1.24.2025.pdf
of Illinois
Affidavit of Non-Participating Manufacturer
Regarding Escrow Reconciliation Payment
NPM-R
Part 1: Manufacturer Identification Part 2: Liability Year
Name: The liability period for this Affidavit is:
Street Address: 2024 Due Apr.15...
-
AG NPM-R Reconciliation Affidavit LY2023 updated 3.1.24.pdf
of Illinois
Affidavit of Non-Participating Manufacturer
Regarding Escrow Reconciliation Payment
NPM-R
Part 1: Manufacturer Identification Part 2: Liability Year
Name: The liability period for this Affidavit is:
Street Address: 2023 Due Apr.15...
-
AG NPM-R Reconciliation Affidavit LY2022 updated 3.1.23.pdf
of Illinois
Affidavit of Non-Participating Manufacturer
Regarding Escrow Reconciliation Payment
NPM-R
Part 1: Manufacturer Identification Part 2: Liability Year
Name: The liability period for this Affidavit is:
Street Address: 2022 Due Apr.15...
-
AG NPM-R Reconciliation Affidavit LY2021 updated 3.3.22.pdf
of Illinois
Affidavit of Non-Participating Manufacturer
Regarding Escrow Reconciliation Payment
NPM-R
Part 1: Manufacturer Identification Part 2: Liability Year
Name: The liability period for this Affidavit is:
Street Address: 2021 Due Apr.15...
-
AG NPM-Q LY2024 updated 1.24.2025.pdf
Manufacturer Regarding
Quarterly Escrow Payment
NPM-Q
p. 2 of 3
Part 4: Certification of Escrow Account and Agreement
The NPM certifies that it has established, and continues to maintain, a fully funded, qualified escrow account, pursuant to
Section 15...
-
AG NPM-Q LY2023 updated 3.1.24.pdf
Manufacturer Regarding
Quarterly Escrow Payment
NPM-Q
p. 2 of 3
Part 4: Certification of Escrow Account and Agreement
The NPM certifies that it has established, and continues to maintain, a fully funded, qualified escrow account, pursuant to
Section 15...
-
AG NPM-Q LY2022 updated 3.1.23.pdf
Manufacturer Regarding
Quarterly Escrow Payment
NPM-Q
p. 2 of 3
Part 4: Certification of Escrow Account and Agreement
The NPM certifies that it has established, and continues to maintain, a fully funded, qualified escrow account, pursuant to
Section 15...
-
AG NPM-Q LY2021 updated 3.1.22.pdf
Manufacturer Regarding
Quarterly Escrow Payment
NPM-Q
p. 2 of 3
Part 4: Certification of Escrow Account and Agreement
The NPM certifies that it has established, and continues to maintain, a fully funded, qualified escrow account, pursuant to
Section 15...
-
AG NPM-Q Brands Addendum LY2024 updated 1.24.25.pdf
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
☐ Cigarette
☐ RYO
Total Sold sticks ounces
Rev. 01/24/2025...
-
AG NPM-LC updated 1.24.2025.pdf
Distributor
Number of
Cigars per
pack
Sticks Sold
Stamped
Unstamped OTP
tax paid
Unstamped Cig
tax paid
Rev. 01/24/2025...
-
AG NPM-F LY2024 updated 1.24.2025.pdf
Subscribed and sworn to
before me this date: ______________________________
__________________________________________________
Signature of Notary Public
______________________
County
_______________________
Commission Expires
Rev. 01/24/2025...
-
AG NPM-2 LY2024 updated 1.24.2025.pdf
• Check whether this is an initial (manufacturer is not
currently listed on the Illinois Directory), annual (due April
30, 2025 for 2024 sales) or supplemental (change of
information provided to the Attorney General) certification....
-
AG NPM-1 LY 2024 updated 1.24.2025 with directory edit.pdf
The undersigned NPM certifies that the following list is a complete list of all of
its brand families which are to be deemed to be its cigarettes (including RYO product) for purposes of Section 15 of the
Escrow Act....