Schedule D-1 - Record Of Moist Snuff Sold, Used, Or Distributed Subject To Tax
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1
2State of New Jersey - TPWST
Division of Taxation
Schedule D-1
(1/09)
Revenue Processing Center
Tobacco Products Tax
PO Box 280
Trenton, NJ 08646-0280
Record of Moist Snuff Sold, Used, or Distributed Subject to Tax
NOTE: DO NOT INCLUDE RETAIL SALES IN WHICH TAX WAS PREVIOUSLY PAID ON THIS SCHEDULE.
Name
_____________________________________________________________
Period Ending (Month/Year) __________/__________
Address _______________________________________________________
FEIN _______________________________________
Enter the total of Schedule D-1 on line 11 of the Tobacco Products Tax Return. Attach Schedule D-1 to the return.
Column 1
Column 2
Customer Name and Address
Number of Ounces
Enter this amount on Line 11 of the Tobacco Products Tax Return.
Total
Make Additional Copies Of This Form If Necessary to Report The Required Information
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