Distributor'S Cigarette Stamp Inventory Report Form - New Mexico

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RPD - 41235
New Mexico Taxation & Revenue Department
Rev. 05/2000
CIGARETTE TAX UNIT
DISTRIBUTOR'S CIGARETTE STAMP INVENTORY REPORT
Report for the calendar month of: _____________________, 20 _______
(Due no later than the 2th day of the following month.)
Name
CRS Identification Number
Address
City
State
Zip Code
AFFIXED OR NON AFFIXED CIGARETTE STAMP ACCOUNTING
CIGARETTE STAMPS
20'S
25'S
1. Cigarette stamp purchases this month ....................................................................
2. Beginning cigarette stamp inventory (affixed and non-affixed) ..................................
3. Total stamp inventory (ADD lines 1 and 2) .........................................................
4. Sales to other wholesalers/distributors for resale ....................................................
5. Sales directly to retailers/consumers (Transfer to CIG-5 converted to individual
cigarette volume) ....................................................................................................
6. TOTAL SALES THIS MONTH (ADD lines 4 and 5) ...............................................
7. Ending cigarette stamp inventory (affixed and non-affixed) .......................................
8. TOTAL LINES 4, 5 and 7 (MUST EQUAL LINE 3) .................................................
I declare that I have examined this return and the information reported on this form and any attached supplements is true
and correct as to every material matter.
Signature
Title
Date

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