Form Tob: App-Nr - Application For Tobacco Stamping Permit (Non-Resident Wholesaler) Page 2
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212. How many sales representatives are employed soliciting orders of tobacco products in Alabama? _____________
13. How will you distribute tobacco products into Alabama?
Company Vehicle(s)
Common Carrier
Mail Order
Other (please explain) ___________________________________________________________________________________
14. How many trucks delivering tobacco products do you operate in Alabama? ______________
15. List counties in which you plan to do business: ________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
16. We must receive a letter of intent from three (3) of your tobacco manufacturers. These letters must state the manu fac -
turer’s intent to sell tobacco products to your company. In addition to the letters from the manufacturers, we require
a letter from your resident state indicating that your company is a duly qualified wholesaler in accordance with all
laws, rules, and regulations with regard to selling tobacco products in the state. These letters must be mailed to our
office directly from the manufacturers and the resident state.
Under penalties of perjury, we hereby certify the above information to be true and correct.
Firm: ________________________________________________________________________________________________________
Signature: __________________________________________________ Title: ____________________________________________
Type or Print Signature Name: __________________________________________________________________________________
Sworn to and subscribed before me this the ________ day of ________________________, ________.
Notary Public: _______________________________________________
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