Schedule A - Record Of Tobacco Products (Excluding Moist Snuff) Purchased, Imported, Received Or Acquired In New Jersey Page 2

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INSTRUCTIONS FOR COMPLETING SCHEDULE A
REPORT OF TOBACCO PRODUCTS (EXCLUDING MOIST SNUFF)
PURCHASED, IMPORTED, RECEIVED OR ACQUIRED IN NEW JERSEY
This report may be filed in summary by supplier.
Column 1
Enter the name and address of the manufacturer, distributor or wholesaler from which the product was purchased or acquired.
Column 2
Enter the Total Wholesale Cost of the Product by supplier. Total this column and record the total wholesale price on Line 1 of the TPT-20.
Make additional copies of this form if necessary to report the information required.

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