Schedule A-3 - Tobacco Products Tax - Resident Distributor
ADVERTISEMENT
1Department of Revenue Services
Schedule A-3
State of Connecticut
Excise/Public Services Taxes Subdivision
Tobacco Products Tax - Resident Distributor
25 Sigourney Street
Hartford CT 06106
Snuff tobacco products activity report
Enter the total of Schedule A-3 on Line 9 of Form OP-300, Tobacco Products Tax Return . Attach Schedule A-3 to the return.
(Rev. 01/02)
Name ___________________________________________________
Period Ending __________________
CT Tax Registration Number _________________________
Address __________________________________________________________________________________________________________________________________________
Purchased, Imported,
Weight Each
Total Weight
Tax
Invoice Number
Date
Received, or Acquired From
Brand Name
Quantity
(in ounces)
(Col. 5 x 6)
(Col. 7 x 0.40)
Column 1
Column 2
Column 3
Column 4
Column 5
Column 6
Column 7
Column 8
1.
Schedule A-3 Subtotal
(
)
2.
List the amount reported on Schedule C-1 (You must attach a copy of Schedule C-1 to Schedule A-3)
3.
Subtract Line 2 from Line 1. Report this amount on Line 9 of Form OP-300
Total
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial