Other Tobacco Products Excise Tax Return Form (Page 2 of 3) in pdf

Other Tobacco Products Excise Tax Return Form Page 2

NEVADA DEPARTMENT OF TAXATION

1550 East College Parkway, Room #115

Carson City, NV 89706

(775) 687-6483

Other Tobacco Products - Claim For Credit

OTP Number

Wholesale Dealer

Month/Yr

Transaction Types

(Please use separate form for each type of transaction)

OTP exported from Nevada for retail sale and consumption in State of

(copy of invoice required for proof of sale outside the State)

OTP sold to

tribal smoke shop.

(copy of invoice required)

OTP sold to

U.S. Military ( Army, Air Force, Navy, Marine Corp).

(copy of invoice required)

OTP returned to the manufacturer (credit memo from manufacturer must be attached).

Please list all exports, sales to tribal smoke shops, U.S. military or credits for returned merchandise.

DATE

INVOICE NUMBER

WHOLESALE PRICE*

TOTAL WHOLESALE PRICE: $

*Wholesale price means the established price for which a manufacturer sells a product made from

tobacco, other than cigarettes , to a wholesale dealer, before any discount or other reduction is made.

OTP 02

Revised 6/1/99

Other Tobacco Products Excise Tax Return Form Page 2