Arizona Form 841 - Cigarette Distributor'S Monthly Report Of Cigarettes Received In Packages Of Other Than Packages Of 20 Or 25 Cigarettes

Download a blank fillable Arizona Form 841 - Cigarette Distributor'S Monthly Report Of Cigarettes Received In Packages Of Other Than Packages Of 20 Or 25 Cigarettes in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Arizona Form 841 - Cigarette Distributor'S Monthly Report Of Cigarettes Received In Packages Of Other Than Packages Of 20 Or 25 Cigarettes with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

ARIZONA FORM
Luxury
841
Tax
Cigarette Distributor’s Monthly Report of
Cigarettes Received in Packages of Other Than Packages of 20 or 25 Cigarettes
For the month _______________________, 20____
This return must be fi led with the Arizona Department of Revenue not later than the 20th
day of the 1st month following the month for which this return is made.
LICENSED DISTRIBUTOR’S NAME (as appears on your license)
TOBACCO LICENSE NO.
TAXPAYER I.D. (EIN or SSN)
MAILING ADDRESS
ADDRESS OF BUSINESS LOCATION
CITY
STATE
ZIP
CITY
STATE
ZIP
NAME OF CONTACT PERSON
TELEPHONE NO.
(
)
Read instructions beginning on page 4.
1
CIGARETTES RECEIVED (Attach copies of invoices):
PKGS OF
NO. OF PKGS
QTY PER PKG
TOTAL
a
10
x
10
=
b
12
x
12
=
c
16
x
16
=
d
x
=
e
x
=
f
x
=
g Total Cigarettes Received ............................................................................................ 1g
2
NON-TAXABLE CIGARETTES
TOTAL
h Cigarettes sold tax-free to Indian reservations - Schedule A
i
Cigarettes sold under §42-3251 and §42-3251.01 to Indian
reservations - Schedule B....................................................
j
Exported from state - Schedule C........................................
k Cigarettes returned to suppliers - Schedule D .....................
l
Total Non-Taxable Cigarettes....................................................................................... 2l
3
TAXABLE CIGARETTES RECEIVED: Subtract line 2l from line 1g; enter the amount.... 3
TAX COMPUTATION
TAX DUE
4a ______________ taxable cigarettes at $0.059 per cigarette =
$
4b ______________ taxable cigarettes at $0.05 per cigarette =
$
5
______________ TOTAL TAXABLE CIGARETTES ........................................................... 5
$
I have read this claim and any attachments with it. Under penalties of perjury, I declare that to the best of my knowledge and belief, they are true,
correct and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
►
TAXPAYER’S OR AUTHORIZED AGENT’S SIGNATURE
DATE
TITLE
►
PREPARER’S SIGNATURE
FIRM’S NAME (PREPARER’S IF SELF-EMPLOYED)
PREPARER’S TIN
DATE
PREPARER’S ADDRESS
Please mail to:
Arizona Department of Revenue, Tobacco Tax, 1600 W. Monroe, Phoenix, AZ 85007
ADOR 14-2026 (11/02)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Arizona Form 841 - Cigarette Distributor's Monthly Report Of Cigarettes Received In Packages Other Than Of 20 Or 25 Cigarettes Arizona Form 841 - Cigarette Distributor's Monthly Report Of Cigarettes Received In Packages Other Than Of 20 Or 25 Cigarettes Financial
Arizona Form 819nr - Nonresident Distributor's Monthly Return Of Cigars And Tobacco Products Sold (for Nonresident Licensed Distributors) - Arizona Department Of Revenue Arizona Form 819nr - Nonresident Distributor's Monthly Return Of Cigars And Tobacco Products Sold (for Nonresident Licensed Distributors) - Arizona Department Of Revenue Financial
Arizona Form 819nr - Nonresident Distributor's Monthly Return Of Cigars And Tobacco Products Sold - Checklist Arizona Form 819nr - Nonresident Distributor's Monthly Return Of Cigars And Tobacco Products Sold - Checklist Financial
Form Cig 59 - *dealer's Monthly Report Of Unstamped Cigarette Purchases Received From Licensed Manufacturers Or Importers In Ohio During Form Cig 59 - *dealer's Monthly Report Of Unstamped Cigarette Purchases Received From Licensed Manufacturers Or Importers In Ohio During Financial
Form 608-1 - Maryland Cigarette Distributor's Monthly Report Of Cigarette Packs And Cigarette Stamps Form 608-1 - Maryland Cigarette Distributor's Monthly Report Of Cigarette Packs And Cigarette Stamps Financial
Form Et-59 - Dealer's Monthly Report Of Unstamped Cigarettes Received In Ohio - 2001 Form Et-59 - Dealer's Monthly Report Of Unstamped Cigarettes Received In Ohio - 2001 Financial
Form Att-73 - Wholesaler's Monthly Report Of Form Att-73 - Wholesaler's Monthly Report Of "nonparticipating Manufacturer" Cigarettes Received Or Shipped Into Georgia Financial
Form Mss-i - Manufacturer's Monthly Report Of Special Shipments Of Taxable Cigarettes Into New Jersey - Division Of Taxation Cigarette Tax - State Of New Jersey Form Mss-i - Manufacturer's Monthly Report Of Special Shipments Of Taxable Cigarettes Into New Jersey - Division Of Taxation Cigarette Tax - State Of New Jersey Financial
Form 608-3 - Wholesaler's Monthly Report Of Maryland Stamped Cigarettes And/or Maryland Sales Of Roll-your-own (ryo) Tobacco Form 608-3 - Wholesaler's Monthly Report Of Maryland Stamped Cigarettes And/or Maryland Sales Of Roll-your-own (ryo) Tobacco Financial
Form Cig 95a - Dealer's Monthly Report Of Stamped/unstamped Cigarette Purchases From Another Licensed Ohio Wholesaler During Form Cig 95a - Dealer's Monthly Report Of Stamped/unstamped Cigarette Purchases From Another Licensed Ohio Wholesaler During Financial

Related Categories

Parent category: Financial
Download
Go
Page of 4