Sample Request and Certification Under Industry Circular 2019-2
TTB Industry Circular 2019-2
123 Main Street
Washington, DC 20005
I am submitting this statement to request participation in the Temporary Voluntary Disclosure Program contained in TTB Industry Circular 2019-2. I certify that I am authorized to sign for the company listed above and, on behalf of the company, I acknowledge and consent that, if TTB approves the application and issues a new permit, TTB may take action against the new permit for violations that took place prior to the issue date of the new permit.
Page last reviewed: July 7, 2019
Page last updated: July 7, 2019
Maintained by: Regulations and Rulings Division