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Form Ct-31a - Cigarette And Unaffixed Stamp Inventory Report For Nonresident Distributors

Department of Revenue Services

Form CT-31A

PO Box 5031

Cigarette and Unafﬁ xed Stamp

Hartford CT 06102-5031

(Rev. 07/11)

Inventory Report for Nonresident Distributors

Inventory of cigarettes for the month of ______________________________________ 20 _______

Name of distributor ___________________________________________________ CT Tax Registration Number ____________________

Address of distributor ____________________________________________________________________________________________

(Street)

(City or town)

(State)

(ZIP code)

Inventory taken by ______________________________________________________________________________________________

(Print name)

Part I and Part II inventories are part of your monthly cigarette report and must be ﬁ led with the report.

Part I. Stamped Cigarette Inventory

Report only cigarettes to which Connecticut cigarette tax stamps or decals have been afﬁ xed. The total of Form CT-31A, Part I, Cigarette and

Unafﬁ xed Stamp Inventory Report for Nonresident Distributors, should agree with the amount reported on Line 14 of Form CT-15A, Monthly

Tax Stamp and Cigarette Report, Nonresident Distributor.

Column B

Column A

Brand

Individual Cigarettes

Brand

Individual Cigarettes

Column A total

Column B total

Total of column A and column B

Form Ct-31a - Cigarette And Unaffixed Stamp Inventory Report For Nonresident Distributors