Tobacco Product Manufacturer Requirements and Resources
Participating Manufacturers
Forms and Instructions may require Adobe Acrobat Reader dowload to view.
Forms:
INSTRUCTIONS - Form TT-19 PM
Annual certification applications are due in this office no later than April 30.
Supplemental certification applications are due in this office 30 days prior to any desired changes to previously approved certification applications.
All fields must be filled in and all attachment/supporting documentation must be included with the certification application before it will be considered for review.
Initials and date are required at the bottom of pages 1-3.
This office may require other supplemental supporting documentation in addition to what is expressly outlined in the certification application.
Part 1: Type of Certification Application
Indicate whether the certification application is initial, annual, or supplemental by marking the corresponding line on the application. For initial and annual certification applications, enter the date by sales year.
Part 2: TPM Identification
Enter the required information as described in the certification application.
Part 3: Fabricator Identification
Enter the required information as described in the certification application.
Part 4: Brand Families and Brand Styles the TPM seeks to certify
Enter the required information as described in the certification application.
Part 5: Affidavit of Tobacco Product Manufacturer
The affidavit must be executed by an authorized officer and must be subscribed and sworn before a notary.
Mail the original fully executed Certification Application and all attachments and supporting documents to:
Office of the Attorney General
Attn: Tobacco Section
Office of the Attorney General
900 East Main Street
Richmond, Virginia 23219Mail a copy of the Certification Application to:
Virginia Department of Taxation
Attn: Tobacco Tax Unit
P.O. Box 715
Richmond, Virginia 23218
