Form Tob: Ts01 - Order For Alabama Revenue Stamps - 2010
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2TOB: TS01
9/10
A
D
R
For Office Use Only
LABAMA
EPARTMENT OF
EVENUE
EFT: _____________________
S
, U
& B
T
D
ALES
SE
USINESS
AX
IVISION
Order Received By: __________
T
T
S
OBACCO
AX
ECTION
Date Received: _____________
P. O. Box 327555 • Montgomery, AL 36132-7555 • (334) 242-9627
Processed By: ______________
Date Processed: ____________
Order For Alabama Revenue Stamps
Reset
NAME (PERSON, FIRM, OR CORPORATION)
PERMIT/REGISTRATION NUMBER
ADDRESS
FEIN NUMBER
CITY
STATE
ZIP
SOCIAL SECURITY NUMBER
METHOD OF SHIPMENT
TELEPHONE NUMBER
–
(
)
Bus
Pick Up
Federal Express –
Overnight
Two Days
CONTACT PERSON
Federal Express Account No.
CIGARETTE REVENUE STAMPS
NO. OF
NO. OF
ROLL
DENOMINATION
VALUE
ROLLS
STAMPS
30,000/RL
0
42.5¢ MACHINE APPLIED
0.00
WIDE
0
42.5¢ MACHINE APPLIED WIDE
0.00
7200/RL
42.5¢ HAND APPLIED
0.00
0
53.125¢ FOR 1 X 10 CARTON
0.00
4800/RL
53.125¢ FOR 2 X 4 CARTON
0.00
0
7200/RL
53.125¢ HAND APPLIED
0.00
0.00
TOTAL VALUE OF STAMPS ORDERED
0.00
*
LESS 7-1/2% DISCOUNT
0.00
NET AMOUNT DUE
PLAYING CARD REVENUE STAMPS
NO. OF
ROLL
DENOMINATION
VALUE
STAMPS
$0.10 HAND APPLIED
TOTAL VALUE OF STAMPS ORDERED
*
LESS 7-1/2% DISCOUNT
NET AMOUNT DUE
NOTE: Do not combine cigarette stamp and playing cards stamp orders on the same form. Unless properly bonded, all orders must
be accompanied by certified check, money order, or Electronic Funds Transfer (EFT). Payments of $750 or greater are
required to be made electronically via EFT. You may choose to make payments by EFT if the amount is less than $750.
Separate checks must be issued for each type of stamp order.
All stamp orders will be processed when received. Consignment account payments shall be made by the twentieth (20th)
of the following month or discount will be forfeited and penalty and interest charged.
The time limitation for filing a petition for refund for the purchase of stamps is two years from the date of payment of
the tax or three years from the date the return was filed, whichever is later (Code of Alabama 1975, Section 40-2A-
7(C)(2)a).
DISCOUNT IS AVAILABLE ONLY TO WHOLESALERS WITH A STAMPING PERMIT.
*
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