| Title | State |
Last Updated |
| Quarterly Certificate Of Compliance Of Escrow Funding |
Maryland | June 3, 2019 |
| Quarterly Distributor Report Of Tobacco Sales In Maine |
Maine | May 21, 2019 |
| Tobacco Product Manufacturer (TPM) Certification |
Massachusetts | April 11, 2019 |
| Notice Of Appointment Of Registered Agent |
Massachusetts | April 11, 2019 |
| Quarterly Certificate Of Nonparticipating Tobacco Product Manufacturer Compliance |
Delaware | April 11, 2019 |
| Certification For Listing On Delaware Directory |
Delaware | April 11, 2019 |
| Authorization For Release Of Information Or Payments |
Texas | September 17, 2018 |
| Other Source Health Insurance Information |
Texas | June 14, 2018 |
| Quarterly Tobacco Product Manufacturer Certificate Of Compliance |
Maine | February 16, 2018 |
| Request For Review Of National Medical Support Notice (NMSN) |
Texas | January 3, 2017 |
| Notice Of Appointment Of Registered Agent |
Delaware | May 16, 2016 |
| Health Care Directive (Living Will) |
Minnesota | May 16, 2016 |
| Power Of Attorney |
Minnesota | May 16, 2016 |
| Revocation Of Power Of Attorney |
Minnesota | May 16, 2016 |
| Application For State Parent Locator Service |
Texas | March 30, 2016 |
| Revocation Of Authorization For Release Of Information-Payments |
Texas | March 30, 2016 |
| Tobacco Product Manufacturers Certification Pursuant To 33 VSA Chapter 19 Subchapter 1B |
Vermont | August 26, 2015 |
| Tobacco Surety Bond |
Vermont | August 26, 2015 |
| Foreign NPM Importer Acceptance Form |
Vermont | August 26, 2015 |
| Escrow Agreement |
Vermont | August 26, 2015 |
| Certificate Of Compliance Non Participating Manufacturer Quarterly Escrow Payment For Sales |
Vermont | August 26, 2015 |
| Certificate Of Compliance Non Participating Manufacturer Annual Escrow Payment For Sales |
Vermont | August 26, 2015 |
| Direct Deposit Authorization Form |
Texas | August 3, 2015 |
| Employer Response |
Texas | August 3, 2015 |
| Child Support Complaint Form |
Texas | August 3, 2015 |
| National Medical Support Notice Part B |
Texas | August 3, 2015 |
| Request For Warrant Cancellation |
Texas | August 3, 2015 |
| Health Insurance Status Change Form |
Texas | August 3, 2015 |
| Custodial Parents Affidavit Of Direct Payments |
Texas | August 3, 2015 |
| Tobacco Product Manufacturer Certification (Brand Family) |
Maryland | July 21, 2015 |
| Non Participating Manufacturer Certification |
Louisiana | July 17, 2015 |
| Non-Participating Manufacturer Quarterly Certification Form |
Arkansas | July 17, 2015 |
| Tobacco Products Manufacturer Certification Form |
Arkansas | July 17, 2015 |
| Plan Administrator Response |
Texas | April 13, 2015 |
| National Medical Support Notice Part A |
Texas | April 13, 2015 |
| Form 10 Registration Statement To Be Filed By Professional Solicitors |
Massachusetts | April 13, 2015 |
| Tobacco Product Manufacturer Annual Certificate Of Compliance |
Maine | September 11, 2014 |
| Non-Participating Tobacco Manufacturers Certificate Of Compliance |
Oklahoma | June 23, 2014 |
| Non-Participating Tobacco Manufacturers Certificate Of Compliance |
Oklahoma | June 23, 2014 |
| Non-Participating Manufacturer Certification Of Quarterly Escrow Compliance |
Tennessee | April 2, 2014 |
| Authorization To Disclose Protected Health Information |
Texas | February 27, 2014 |
| Non-Participating Manufacturer Quarterly Certification Form |
Arkansas | January 28, 2014 |
| Tobacco Products Manufacturer Certification Form |
Arkansas | January 28, 2014 |
| NPM Information Request |
Tennessee | August 21, 2013 |
| Non-Participating Manufacturers Request For Units Sold Information |
Tennessee | August 21, 2013 |
| Non-Participating Manufacturer Certification Of Annual Escrow Compliance |
Tennessee | August 21, 2013 |
| Certification Form For Listing On Tennessees Directory |
Tennessee | August 21, 2013 |
| Certificate Of Compliance |
Maryland | July 29, 2013 |
| Power Of Attorney (Effective 1-1-14) |
Minnesota | May 31, 2013 |
| Tobacco Products Manufacturer Certification Form (Certification Year 2012) |
Arkansas | November 1, 2012 |
