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Non-Participating Manufacturers Sales Information (Quarterly) Form. This is a South Carolina form and can be use in Office Of Attorney General Statewide.
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Tags: Non-Participating Manufacturers Sales Information (Quarterly), South Carolina Statewide, Office Of Attorney General
STATE OF SOUTH CAROLINA
NON-PARTICIPATING MANUFACTURER’S SALES INFORMATION
[Pursuant to S.C. Code Ann. §11-48-50]
Manufacturer Identification
Company Name:
Date:
Address:
City:
State:
Zip:
Telephone Number:
Country:
Fax Number:
E-Mail Address:
Name/Title of Person Completing Form:
MANUFACTURER’S RECORDS
(Attach Addendum Pages As necessary)
Year of Liability 2011
Quarter Reported (check one):
1st Qtr
2nd Qtr
Other:___________
3rd Qtr
4th Qtr
Instructions for Manufacturer: List each distributor that is responsible for South Carolina tax on your cigarette
and RYO brand(s). For each distributor, provide the name, address, contact person and phone numbers. For
each distributor, provide the sales volume for South Carolina.
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
American LegalNet, Inc.
www.FormsWorkFlow.com
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Distributor Address:
Phone Number:
Sales Volume per Manufacturer:
Sales Volume per
Distributor reports to
Dept. of Revenue
(AG use only)
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
Distributor Name:
Brand Family:
Contact Person’s
Title/Name:
Check One:
RYO
Cigarette
For Attorney General Use Only:
Total Cigarette Sticks: __________
Total RYO Ounces: ____________
American LegalNet, Inc.
www.FormsWorkFlow.com
