Fillable Form 2020: CERTIFICATION YEAR *Due On or Before (Arkansas Attorney General)

Fill Online, Printable, Fillable, Blank Form 2020: CERTIFICATION YEAR *Due On or Before (Arkansas Attorney General) Form

Use Fill to complete blank online ARKANSAS ATTORNEY GENERAL (AR) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 2020: CERTIFICATION YEAR *Due On or Before (Arkansas Attorney General)

On average this form takes 13 minutes to complete

The Form 2020: CERTIFICATION YEAR *Due On or Before (Arkansas Attorney General) form is 2 pages long and contains:

  • 0 signatures
  • 9 check-boxes
  • 48 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Arkansas Attorney General

BROWSE ARKANSAS ATTORNEY GENERAL (AR) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
STATE OF ARKANSAS
● -
IMPORTER ACCEPTANCE OF
JOINT-AND-SEVERAL LIABILITY
CERTIFICATION YEAR
2020
*Due On or Before April 30, 2020
IMPORTER INFORMATION:
Business Name:
Contact Person:
Address:
City:
State:
Zip Code:
Telephone:
Email:
IS THE COMPANY REPRESENTED BY COUNSEL?
Yes
No
IDENTIFICATION OF COUNSEL:
Firm Name:
Counsel’s Name:
Address:
City:
State:
Zip Code:
Telephone:
Email:
FEDERAL TOBACCO IMPORTER PERMIT NUMBER
→ A copy of the permit issued by the U.S. Department of Treasury, Tobacco Tax Bureau must be included with this form.
NON-PARTICIPATING MANUFACTURER FOR WHOM LIABILITY IS ACCEPTED:
Business Name:
Contact Person:
Address:
City:
State:
Zip Code:
Telephone:
Email:
BRAND FAMILIES BEING IMPORTED FROM NON-PARTICIPATING MANUFACTURER:
A Written Contract Commencing _____________________ and ending _______________________.
An Oral Contract or Informal Agreement.
→ If the cigarette brand families are imported under a written contract, a copy of that contract must be included with this form.
Initial of Importer:
Initial of Importer:
IMPORTER’S REGISTERED AGENT FOR SERVICE OF PROCESS:
Company:
Address:
City:
State:
Zip Code:
Telephone:
Fax:
Email:
→ A statement from the Registered Agent noting his or her service in this capacity must be included with this Certification Form.
Pursuant to Arkansas law, this Registered Agent must reside in the State of Arkansas.
BONDING:
Does the Importer submitting this form have a bond in place to cover escrow
liability for sales made in Arkansas during the sales year?
Yes
No
→ If your answer to the preceding question was “yes,” a copy of such bond must be included with this Certification Form.
SIGNATURE:
Authorized Designee:
Title:
Designee Signature:
Date:
→ Seal of Notary must be included and should overlap the right-hand column of the above box.
MAIL THE COMPLETED FORM TO:
Office of the Arkansas Attorney General
ATTN: Tobacco Division
323 Center Street, Suite 200
Little Rock, Arkansas 72201
→ This form, including attachments, must be received on or before April 30,
2020.
→This form will not be processed unless all fields are completed and all
required attachments have been received.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 2020: CERTIFICATION YEAR *Due On or Before (Arkansas Attorney General)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 20 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document