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The following forms are to be used for new applications only. DO NOT use these forms for permit renewals. Please fill out completely and mail completed forms and payment to:

Arkansas Tobacco Control
101 East Capitol Ave., Suite 401
Little Rock, AR 72201-3824

All forms below are in PDF format unless otherwise noted.

Wholesale
Wholesale Cigarette Only Permit Application Includes:
Instructions to obtain a Wholesale Cigarette Permit
Application for Wholesale Cigarette Permit
Affidavit for Wholesale Cigarette Permit
Suggested Advertisement for Wholesale Cigarette, Tobacco, Vapor Product and Alternative Nicotine Product Permit
Application for Wholesalers Representatives' License
Unfair Cigarette Sales Act Letter
Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory
Wholesale Tobacco, Vapor Product and Alternative Nicotine Product Only Permit Application Includes:
Instructions to obtain a Wholesale Tobacco, Vapor Product and Alternative Nicotine Product Permit
Application for Wholesale Tobacco, Vapor Product and Alternative Nicotine Product Permit
Affidavit for Wholesale Tobacco, Vapor Product and Alternative Nicotine Products Permit
Application for Wholesalers Representatives' License
Suggested Advertisement for Wholesale Cigarette, Tobacco, Vapor Product and Alternative Nicotine Product Permit
Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory
Wholesale Cigarette and Tobacco, Vapor Product and Alternative Nicotine Product Permit Application Includes:
Instructions to obtain a Wholesale Cigarette, Tobacco, Vapor Product and Alternative Nicotine Product Permit
Application for Wholesale Cigarette Permit
Application for Wholesale Tobacco, Vapor Product and Alternative Nicotine Product Permit
Suggested Advertisement for Wholesale Cigarette, Tobacco, Vapor Product and Alternative Nicotine Product Permit
Affidavit for Wholesale Cigarette and Wholesale Tobacco, Vapor Product and Alternative Nicotine Product Permit
Application for Wholesalers Representatives' License
Unfair Cigarette Sales Act Letter
Act 1073 of 2003 - Sale of Brands not on the Attorney General's Approved-for-Sale Tobacco Products Directory
Sales Representatives
Wholesale Sales Representative License Application Includes:
Application for Wholesalers Representatives' License
Unfair Cigarette Sales Act Letter
Manufacturer's Sales Representative License Application Includes:
Application for Manufacturers Representatives' License
Unfair Cigarette Sales Act Letter
Application to sell at less than the presumptive cost of doing business
Includes:
Application to sell at less than the presumptive cost of doing business

Arkansas Tobacco Control
101 East Capitol Ave., Suite 401
Little Rock, AR 72201-3826

O: 501-682-9756 | F: 501-682-9760

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