Form Tob: T-Whsle - Monthly Report Form By Resident Wholesale Dealers In Cigarette Products - Alabama - 2010 Page 3

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NONTAXABLE SALES AS PROVIDED BY LAW
PART III – Sales To National Guard Units
CIGARETTES ONLY
EXEMPTION
INVOICE
INVOICE
TO WHOM SOLD
(a)
(b)
CERTIFICATE
DATE
NUMBER
(NAME AND ADDRESS)
NUMBER OF
TAX VALUE
NUMBER
CIGARETTES
(Col. a x $0.02125)
TOTALS (Enter here and also on Part I, line 4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART IV – Sales To U.S. Government (Include Military Bases and Federal Prisons)
CIGARETTES ONLY
INVOICE
INVOICE
TO WHOM SOLD
(a)
(b)
DATE
NUMBER
(NAME AND ADDRESS)
NUMBER OF
TAX VALUE
CIGARETTES
(Col. a x $0.02125)
TOTALS (Enter here and also on Part I, line 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART V – Sales To Federally Recognized Indian Reservations
CIGARETTES ONLY
INVOICE
INVOICE
TO WHOM SOLD
(a)
(b)
DATE
NUMBER
(NAME AND ADDRESS)
NUMBER OF
TAX VALUE
CIGARETTES
(Col. a x $0.02125)
TOTALS (Enter here and also on Part I, line 6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Copy and attach additional sheets if needed. A computer printout with the EXACT headings and this format is acceptable; however, totals
must be entered on this page. We can no longer accept return information, including schedules, not in the EXACT format as this form.

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