
R who intends to sell its cigarettes in this state shall complete and forward a certificate of compliance certifying, under penalty of perjury, that the TPM is either a participating manufacturer (PM), as that term is defined in sec. II(jj) of the Master Settlement Agreement (MSA), or is a nonparticipating manufacturer (NPM), as that term is defined in sec. II(cc) of the MSA. The NPM must further certify that it is in full compliance with Alaska Statute (AS) 45.53. The statute requires that an N.
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How to fill out the AK 0405-510i online
The AK 0405-510i is the certificate of compliance necessary for tobacco product manufacturers intending to sell their products in Alaska. This guide provides clear, step-by-step instructions to assist you in completing the form online, ensuring compliance with state regulations.
Follow the steps to accurately complete your AK 0405-510i certificate of compliance.
- Click ‘Get Form’ button to access the AK 0405-510i and open it in your online document management system.
- Begin filling out Part I by providing the complete name, address, and phone number of the tobacco product manufacturer. Indicate whether the manufacturer is a participating manufacturer or a non-participating manufacturer. If this is an initial certificate of compliance, make sure to check the appropriate box.
- In Part II, identify the sales year for which this certificate is being completed, ensuring it corresponds to the correct calendar year of sales.
- Proceed to Part III to list all brand families and brand names of cigarettes sold or intended for sale in Alaska. Ensure that only the identified brands are included.
- If you are a non-participating manufacturer, complete Part IV by providing the number of cigarettes sold in Alaska during the sales year and calculating the required escrow payment.
- In Part V, confirm registration under the Prevent All Cigarette Trafficking Act (PACT Act) and provide any necessary details, including a registered agent if applicable.
- Finalize the document by entering the required signatures in Part VI. Make sure an authorized agent of the tobacco product manufacturer and the financial institution sign in the presence of a notary public.
- After completing the form, save your changes, download the document, or print it for submission to the Alaska Department of Revenue.
Complete your AK 0405-510i certificate of compliance online today to ensure compliance with Alaska regulations.
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