Schedule A - Record Of Tobacco Products (Excluding Moist Snuff) Purchased, Imported, Received Or Acquired In New Jersey

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State of New Jersey - TPWST
Division of Taxation
Schedule A
(1/08)
Revenue Processing Center
Tobacco Products Tax
PO Box 280
Trenton, NJ 08646-0280
Record of Tobacco Products (Excluding Moist Snuff) Purchased, Imported, Received or Acquired in New Jersey
NOTE: PROVIDE ONLY SUMMARY DATA BY SUPPLIER ON THIS SCHEDULE.
Name
_________________________________________________________________
Period Ending (Month/Year) __________/__________
Address __________________________________________________________
FEIN _______________________________________
Enter the total of Schedule A on line 1 of the Tobacco Products Tax Return. Attach Schedule A to the return.
Column 1
Column 2
From Whom Purchased or Acquired (Name and Address)
Wholesale Price
Enter this amount on Line 1 of the Tobacco Products Tax Return.
Total
Make Additional Copies Of This Form If Necessary to Report The Required Information

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