Cigarettes Returned To Manufacturer With Tax Stamps Affixed To Original Packages Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Cigarettes Returned To Manufacturer With Tax Stamps Affixed To Original Packages Form. This is a Indiana form and can be use in Department Of Revenue Statewide.
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Tags: Cigarettes Returned To Manufacturer With Tax Stamps Affixed To Original Packages, CT-13, Indiana Statewide, Department Of Revenue
INDIANA DEPARTMENT OF REVENUE
CIGARETTES RETURNED TO MANUFACTURER WITH
TAX STAMPS AFFIXED TO ORIGINAL PACKAGES
SHEET NO. ___________
CT - 13
SF 46858 Rev. 5-97
Distributor’s Name _____________________________________________ Distributor’s License # ___________
Period of _________________ , ______
MANUFACTURER
AFFIDAVIT #
DATE
NO.OF PKGS
RETURNED
PACKAGE
SIZE
NO. OF
CIGARETTES
STATE TAX
AFFIXED
DATE
RETURNED
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
INDIANA
TOTAL INDIANA STAMPED CIGARETTES
RETURNED TO MANUFACTURER
TOTAL ________________ STAMPED CIGARETTES
RETURNED TO MANUFACTURER
TOTAL ________________ STAMPED CIGARETTES
RETURNED TO MANUFACTURER
OUT-OF-STATE DISTRIBUTORS: Total the Indiana stamped cigarettes returned to manufacturer -- Report this total on CT-24,
Line 4.
IN-STATE DISTRIBUTORS: Total the other states stamped cigarettes returned to manufacturer -- Report this total on CT-5, Line 5.
Show states separately.
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