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electronic format established by the Department, the following information: (1) a statement that the applicant will fully comply with the Tobacco Products Manufacturers' Escrow Enforcement Act of 2003; and (2) the following information: (A) the The name and address of the applicant; . (B) the (2) The address of the location at which the applicant proposes to engage in business as a distributor of tobacco products; and . (C) such other additional (3) Other information as the Department may reasonably require by its rules. Each distributor, except for a distributor who is applying for a distributor's license under this Act for the first time or a distributor who, in the preceding year, had less than $50,000 of tax liability, shall also file with the Department a bond in an amount not to exceed (i) 3 times the amount of the distributor's average monthly tax liability or (ii) $50,000, whichever amount is lower, on a form to be approved by the Department. The Department shall fix the amount of the bond for each applicant, taking into consideration the amount of money expected to become due from the applicant under this Act. The amount of bond required by the Department shall be an amount that, in its opinion, will protect the State of Illinois against failure to pay the amount that may become due from the applicant under this Act. Except as otherwise SB3019 Enrolled LRB104 20255 HLH 33706 b Public Act 104-0468