Montana Form Tp-102 - Pre-Paid Tobacco Product Tax Credit - Montana Department Of Revenue Page 2

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Schedule A – Pre-paid tobacco products tax
For the period of ___________________________________________
Business name ____________________________________________ Phone _________________________
Distributor
Value of other
Weight of moist
tobacco products
snuff on memo
Date of
Date of
on memo
(oz)
Purchase
Sales
(B)
(A)
Name
Address
Invoice ID
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
1. Total pre-paid tobacco products credit value ..................................................................................... $
oz
2. Tobacco products tax rates...................................................................................................................
0.50 (50%)
$0.85 / oz
3. Total pre-paid tobacco products tax (multiply line 1 with line 2)
Total value of column A on line 1, section 1, and column B on line 2, section 1 ............................ $
$
318

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