Get Arkansas Non Participating Manufacturer Quarterly Certification Form

Filling out the Arkansas Non Participating Manufacturer Quarterly Certification Form online is an essential task for maintaining compliance as a manufacturer. This guide will provide you with the information you need to accurately complete the form and submit it in a timely manner.

Follow the steps to successfully complete the certification form online.

1. Click ‘Get Form’ button to obtain the Arkansas Non Participating Manufacturer Quarterly Certification Form and open it in your preferred editing tool.
2. Begin by filling in the certification type, selecting either 'Original' or 'Amended', and specifying the certification year. Ensure that the reporting period is selected accurately (First, Second, Third, or Fourth Quarter).
3. Enter your business information, including business name, address, city, state, zip code, telephone number, and email address. Provide the name of a contact person for reference.
4. Move to the brand sales section, where you need to list the brand family and the units sold during the calendar quarter. For roll-your-own tobacco products, remember to calculate the units sold by dividing total ounces by .09.
5. Provide details for the qualified escrow account, including the financial institution’s name, address, state, email, and Arkansas sub-account number. Fill in the representative's name and provide the escrow account number along with the date of the escrow agreement.
6. In the escrow obligation for sales period section, note the total number of units sold in Arkansas, the statutory rate per cigarette, and calculate the amount that needs to be deposited for the calendar quarter. Remember to include the account statement or letter from the escrow agent indicating the deposit amount and date.
7. Answer the additional information questions regarding the registered agent and escrow agreement accuracy with 'Yes' or 'No'. If 'No' is selected, provide an explanation.
8. Fill in the total number of cigarettes on which federal excise tax was paid and ensure to include supporting copies of Tobacco Tax Bureau Form 5210.5.
9. Report the total nationwide sales pursuant to 15 U.S.C. § 376 and attach copies of all relevant reports sent to states other than Arkansas.
10. Sign the form as the authorized designee, including your title and the date of signing. Ensure a notary public is present to acknowledge the signature by filling in the necessary notary details.
11. Finally, save your changes and download, print, or share the completed form as needed. Ensure to mail the completed certification form to the Office of the Arkansas Attorney General, ensuring it is sent within 20 days of the conclusion of the quarter.

Complete your Arkansas Non Participating Manufacturer Quarterly Certification Form online today to ensure compliance and avoid any delays.