Form Otp 01 - Other Tobacco Products (Otp) Excise Tax Return

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NEVADA DEPARTMENT OF TAXATION
1550 East College Parkway, Room #115
Carson City, Nevada 89706
(775) 684-2129
Other Tobacco Products (OTP) Excise Tax Return
NRS 370
OTP License No.
Return for month ending ______________________
Wholesale Dealer
Due on or before the 20th of the following month
Mailing Address
IF POSTMARKED AFTER DUE DATE,
PENALTY AND INTEREST WILL APPLY
for office use only
1. Total wholesale price of products sold or distributed
1
2. Credit for sales to out of state customers.
(OTP Form 2 must be attached)
2
3. Credit for sales to Tribal customers and/or U.S.Military.
(OTP Form 2 must be attached)
3
4. Credit for returned merchandise.
(OTP Form 2 and copy of mfg credit memo must be attached)
4
5. Total sales subject to excise tax.
(line 1 minus line 2, minus line 3, minus line 4)
5
6. Tax (30% of line 5).
6
7. Collection allowance (0.5% of line 6).
7
8. Tax due (line 6 minus line 7).
8
9. Less Credits approved by the Department.
9
10. Tax due (line 8 minus line 9).
10
11. Penalty (10% of line 10).
11
12. Interest (1% of line 10 for each month or fraction thereof).
12
13. Plus Liabilities established by the Department.
13
14. Total due
(Make check payable to the Nevada Department of Taxation)
14
I hereby certify that this return, including any accompanying schedules and statements, has been examined by me and to the
best of my knowledge and belief is true, correct and a complete return.
Authorized Signature
Title
Report Prepared By
Title
Date
Telephone Number
FOR OFFICE USE ONLY
BY
DATE REC.
CK#
AMOUNT
POST MARK
PENALTY
INTEREST
OTP 01
Revised 07/29/03

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