AN 2010(4)

Annual Revision of Forms TPM-1, TPM-2, and TPM-3

This publication has been superseded by AN 2011(4)

Effective Date: Upon issuance.

Definitions: As used in this Announcement:

• Participating manufacturer (PM) has the same meaning as in section II(j) of the Master Settlement Agreement (MSA).
• Nonparticipating manufacturer (NPM) means any tobacco product manufacturer that is not a participating manufacturer.

March 2010 Revision of Form TPM-1, Certification of Compliance and Affidavit by Nonparticipating Manufacturer: DRS revises Form TPM-1 annually to specify the amount, as adjusted for inflation, required to be placed into a qualified escrow fund for the State of Connecticut by each NPM for each cigarette sold to consumers within Connecticut, whether directly or through a distributor, dealer, or similar intermediary or intermediaries. With respect to each cigarette sold to consumers within Connecticut during calendar year 2009, an NPM must use the March 2010 revision of Form TPM-1 and not any earlier version. The revised March 2010 Form TPM-1 has (Rev. 03/10) in the upper left hand corner.

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March 2010 Revision of Form TPM-3, Brand Families Unit Sales Schedule: DRS revises Form TPM-3 annually to obtain a breakdown by brand families of an NPM’s sales of cigarettes to consumers within Connecticut, whether directly or through a distributor, dealer, or similar intermediary or intermediaries, during the preceding calendar year and of sales made to date during the current calendar year. An NPM must use the March 2010 revision of Form TPM-3 and not an earlier version. The revised March 2010 Form TPM-3 has (Rev. 03/10) in the upper left hand corner.

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Mailing of Forms TPM-1 and TPM-3 to NPMs: DRS will mail the March 2010 revision of Forms TPM-1 and TPM-3 to each NPM whose cigarettes were reported by stampers to have been sold to consumers within Connecticut, whether directly or through a distributor, dealer, or similar intermediary or intermediaries, during calendar year 2009. Failure to receive Forms TPM-1 and TPM-3 does not excuse an NPM from filing the forms. Each NPM must file Form TPM-1, a copy of the escrow agreement signed by the NPM and the financial institution, and Form TPM-3 on or before April 30, 2010, to the following address:

Office of the Attorney General
Finance Department
PO Box 120
Hartford CT 06141-0120

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Inflation Adjustment for Amounts to Be Placed Into Qualified Escrow Fund by NPMs On or Before April 15, 2010: With respect to an NPM whose cigarettes are sold to consumers within Connecticut, whether directly or through a distributor, dealer, or similar intermediary or intermediaries, during calendar year 2009, the amount of $0.0266359 per cigarette sold must be placed into a qualified escrow fund for the State of Connecticut by the NPM on or before April 15, 2010.

Mailing of Form TPM-2 to PMs and NPMs: DRS will mail the March 2010 revision of Form TPM-2 to each PM and NPM:

• Whose cigarettes were reported by stampers to have been sold to consumers within Connecticut, whether directly or through a distributor, dealer, or similar intermediary or intermediaries, during calendar year 2009;
• Which has applied for and secured from DRS a cigarette manufacturer’s license that is currently in effect; or
• Which, along with its brand families, is currently listed on the Connecticut tobacco directory.

Failure to receive Form TPM-2 does not excuse a PM or NPM from filing the form. Each PM and NPM that wishes to have its cigarettes listed in the Connecticut tobacco directory as of July 1, 2010, must file Form TPM-2 on or before April 30, 2010, at the following addresses:

Submit a copy to:

              Office of the Attorney General
              Finance Department
              PO Box 120
              Hartford CT 06141-0120

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Effect on Other Documents: Announcement 2009(4), Annual Revision of Forms TPM-1, TPM-2, and TPM-3, is modified and superseded and may not be relied upon on or after the date of issuance of this Announcement.

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Effect of This Document: Announcements alert taxpayers to new developments (other than newly enacted or amended Connecticut or federal laws or newly released judicial decisions), including new administrative positions, policies, or practices.

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For More Information on the Required Annual Escrows: For more information on the annual escrows required to be made by NPMs under Conn. Gen. Stat. §§4-28h through 4-28j, call the Office of the Attorney General at 860-808-5270, Monday through Friday, 8:00 a.m. to 5:00 p.m., or write to:

Office of the Attorney General
Finance Department
PO Box 120
Hartford CT 06141-0120

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For More Information: Call DRS during business hours, Monday through Friday:

• 1-800-382-9463 (Connecticut calls outside the Greater Hartford calling area only); or
• 860-297-5962 (from anywhere).

TTY, TDD, and Text Telephone users only may transmit inquiries anytime by calling 860-297-4911.

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Forms and Publications: Visit the DRS website to download and print Connecticut tax forms and publications.

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