Form Nmago - 2016 - Certification Of Tobacco Product Importer Accepting Joint And Several Liability With Non-Participating Manufacturer For Escrow Compliance In New Mexico And Appointing Resident Agent For Service Of Process Page 2
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3Name, Title and Dates of Service of ALL Current and Past Officers, Directors and/or Partners:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
If the Tobacco Product Importer is represented by outside counsel for the purpose of
compliance with NMSA 1978, §§ 6-4-12 through 6-4-24, provide the following
information:
Firm: ____________________________________________________________________
Attorney: _________________________________________________________________
Address: _________________________________________________________________
Phone: _______________________________ Fax:________________________________
Email: ____________________________________________________________________
2. Importing Contract Information:
The Importer identified above imports into the United States cigarettes manufactured by:
Tobacco Product Manufacturer’s Name: _______________________________________
_______________________________________________________________________
The cigarette brands imported by the Importer for the Manufacturer identified above are as
follow: ___________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
The Importer imports these cigarettes under: (check one)
_____Written contract commencing_________________ and expiring_________________
_____Oral contract or informal agreement
3.
Acceptance of joint and several liability:
In accordance with NMSA 1978, § 6-4-17 D (1) of the New Mexico Statutes for all sales of
brands of cigarettes identified above which occur in New Mexico, the Importer hereby
accepts joint and several liability with the Tobacco Product Manufacturer identified above for
deposit of all escrow due, payment of all penalties imposed and all costs and attorneys fees
imposed in accordance with NMSA 1978, §§ 6-4-12 through 6-4-24. This liability shall apply
to all sales in New Mexico commencing January 1, 2010 and continuing until ninety days
after written revocation of this acceptance is received in the Office of the New Mexico
Attorney General.
4.
Appointment of resident for service of process in New Mexico:
In accordance with NMSA 1978, § 6-4-17 D (2) of the New Mexico Statutes, the Importer
hereby appoints the resident agent in New Mexico below as its agent for service of process
on whom all process, and any action or proceeding against it concerning or arising out of the
enforcement of NMSA 1978, §§ 6-4-12 through §§ 6-4-24 may be served in any manner
authorized by law:
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NMAGO – 2016 (2)
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