Form Otp 99 - Request To Transport Other Tobacco Products Between Distributors Page 2
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2OTP 99
Instructions for OTP Consent to Transport
Rev. 4/11
The consent to transport should be used for every
Fax number – The supplying distributor fax number to which
transaction involving the transfer or exchange of other
the departmental consent should be sent.
tobacco products between two distributors such as when
Make/model/color of delivery vehicle – The manufacturer
one Ohio licensed distributor requests to purchase other
name, model and color of the delivery vehicle that will be
tobacco products from another Ohio licensed distributor. The
used to ship the requested tobacco product.
Ohio licensed distributor requesting the tobacco product is
responsible for requesting the consent to transport from the
License plate number – The license plate number of the
Ohio Department of Taxation. The requesting distributor must
delivery vehicle that will be used to ship the requested
give the department three to fi ve business days notice before
tobacco product.
the requested shipment date. (Failure to do so may result in
the department not authorizing the shipment to take place.)
Manufacturer name – The manufacturer name of the brand
of other tobacco product being requested. If the product is
Name of requesting distributor – The Ohio licensed
roll-your-own tobacco, the manufacturer must be listed
distributor’s name who is requesting the shipment of other
as it appears on the tobacco directory of the Ohio Attorney
tobacco products.
General (see ).
Account number – The other tobacco product account
PM or NPM manufacturer – The Ohio Attorney General’s
number of the requesting distributor issued by the Ohio
directory status of the roll-your-own manufacturer found
Department of Taxation. Ex. 921XXXXX
at . PM refers to Participating
Manufacturer while NPM refers to Non-Participating
Name of person requesting consent – Representative of
Manufacturer. PM and NPM are both allowed to be
the person requesting the consent on behalf of the licensed
distributed in the state of Ohio. If not roll-your-own
distributor.
product, please leave blank.
Date to be shipped – The date you want the supplying
Product description – The type of other tobacco product
distributor to deliver the other tobacco product to your
being requested. If the product is roll-your-own, each brand
licensed location.
family must be listed separately and as it appears on the
Telephone number – The phone number (with extension if
attorney general’s Web site at .
applicable) of the person requesting the consent on behalf
If the roll-your-own product is not listed on the directory, the
of the licensed distributor.
product cannot be distributed for resale in the state of Ohio
and consent will not be granted.* Please attach additional
Fax number – The company fax number of the requesting
sheets if necessary.
distributor.
Quantity – The quantity of each product being requested.
Name of supplying distributor – The distributor’s name who
The quantity of roll-your-own product must be stated in
will be selling the other tobacco product to the requesting
ounces, while all other tobacco products should be quantifi ed
distributor.
by packaging (one case, 10 packs, fi ve cigars, etc.)
Account number – The other tobacco product account
Signature – An unsigned consent will not be processed.
number of the supplying distributor issued by the Ohio
Department of Taxation. Ex. 92XXXXXX (If applicable)
*Roll-your-own product not listed on the tobacco directory
of the Ohio Attorney General’s Web site can be requested
Name of contact person receiving consent – The name
by a multi-state distributor. The requesting distributor must
of the representative of the supplying distributor who will be
provide the department with a copy of the Other Tobacco
receiving the consent from the department.
Product license for the state where the product will be
distributed along with a signed statement that the requested
Purchase invoice number – The invoice number of the other
uncertifi ed product will not be sold for resale in the state
tobacco products for which the consent is being requested.
of Ohio.
Telephone number – The phone number (with extension if
applicable) of the person receiving the consent on behalf of
the supplying licensed distributor.
All Requests for Consents to Transport should be faxed to the following:
Excise Tax Section
Fax (614) 728-1806
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