Schedule D - Tobacco Products Tax Form - Connecticut Department Of Revenue Services

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Department of Revenue Services
PO Box 5018
Schedule D
Hartford CT 06102-5018
(Rev. 05/09)
Tobacco Products Tax
Record of tobacco products excluding snuff tobacco products sold to the federal government
Name ___________________________________________________ Period ending ________________________________________
Address _________________________________________________ CT Tax Registration Number _____________________________
Enter the total of Schedule D on Line 5 of Form OP-300, Tobacco Products Tax Return. Attach Schedule D to the return.
Wholesale sales price means: In the case of a distributor which is the manufacturer of the tobacco products, the price set for these products or
if no price has been set, the wholesale value of these products; in the case of a distributor that is not the manufacturer of the tobacco products,
the price at which the distributor purchased the products.
Date
Invoice
Wholesale
Sold
Sold To
Number
Sales Price
Enter this amount on Line 5 of Form OP-300.
Total

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