Get Cigarette Distributor's Application For Deferred Payment Option

This guide provides a comprehensive overview of the Cigarette Distributor's Application for Deferred Payment Option. Follow these detailed steps to successfully complete and submit the form online, ensuring compliance with state regulations.

Follow the steps to fill out the form accurately and efficiently.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your business name in the designated field to identify your company.
3. Provide the distributor permit number, which is essential for verifying your credentials.
4. Specify the amount of deferred credit you are requesting by entering the dollar amount in the provided field.
5. Choose your preferred payment option by checking one of the following: weekly payment without a security deposit, weekly payment with a security deposit, monthly payment, or twice-monthly payment.
6. Input the email address of the designated person responsible for payment processing, ensuring it is accurate for correspondence.
7. Provide a contact telephone number, which will be used for any inquiries or follow-ups regarding your application.
8. Read and understand the certification statement and ensure you are eligible to apply. This statement confirms your voluntary choice to apply for deferred payments for cigarette tax stamps.
9. Input the name and title of the distributor’s principal owner or authorized representative in the appropriate fields.
10. Sign the form as the distributor’s principal owner or authorized representative to validate your application.
11. Select the date of signing to confirm when the application is submitted.
12. If applicable, prepare any required documentation for a security deposit based on your selected payment option, such as cash, deposit accounts, surety bonds, or letters of credit.
13. Review all entered information for accuracy before finalizing your submission.
14. Save changes to the form, download a copy for your records, print it if necessary, or share the completed form as needed.

Complete the Cigarette Distributor's Application for Deferred Payment Option online to manage your payment responsibilities effectively.