Form Com/att-643 - Cigarette Wholesale Cost Of Doing Business Page 2

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Cigarette Wholesale Cost of Doing Business
(Continued)
Applications for lower cost of doing business filed in other jurisdictions:
A.
Has the licensee applied for approval for a lower cost of doing business in any of the
following jurisdictions during the 12 months immediately preceding this application?
If yes, percentage
Effective
State
Yes
No
of approval
Date
9
9
Delaware
9
9
New Jersey
9
9
New York
9
9
Pennsylvania
B.
If Yes is checked for any state, a copy of that state's complete submission and letter of
approval or disapproval must be attached to this form.
To be signed by corporate officer, owner, or partner:
I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing
document are true and correct to the best of my knowledge, information, and belief, and is in
conformance with Commercial Law, Title 11, of the Annotated Code of Maryland.
Name
Title
Signature
Date
Page 2

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