Form 800 Nr - Cigarette Distributor'S Monthly Report Page 2
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1
2GENERAL INSTRUCTIONS
Section C: Tax Free Reservation (Green Tax Stamps @ No $ Value)
You must file this return if you are a distributor of cigarettes into the state
of Arizona.
Line 1 - Enter your ending inventory from Section C line 3 from prior
month.
You must file the return monthly on or before the 20th day after the month
Line 2 - Enter packages stamped for sale in Arizona during month.
Line 3 - Enter ending inventory of packages stamped for sale in Arizona
the cigarettes have been sold.
last day of month.
Prepare this return for each month regardless of whether or not any sales
Line 4 - Enter the stamped packages delivered in Arizona to Indian
have been made. File the original with the Department of Revenue. Retain
Reservations. (From Schedule 800NR - C column H & I.)
a copy of the return with all substantiating documentation for at least four
Part 2: Stamp Inventory:
years, subject to inspection by the Department.
Report all cigarettes in packages.
Line 1 - Enter from Part 2 line 3 from prior month for Blue, Red and
Green packs of 20's and 25's.
Line 2 - Enter stamps purchased during month for Blue, Red and Green
You must provide your taxpayer identification number on the return. A tax
identification number is either your federal employer identification number
denominations.
Line 3 - Enter ending unaffixed stamp inventory at end of month for Blue,
(EIN), or your social security number (SSN), if you are a sole proprietor,
with no employees.
Red and Green denominations.
Line 4 - Enter total number of Arizona stamps affixed during month. (Must
The Licensee or Authorized Agent must sign the form.
Schedule 800NR - C (Complete separate schedule for each
If you pay a preparer to complete this return, the preparer must sign the
return and include his or her identification number.
List all sales to authorized Indian Retailers. Each transaction must include
the following:
SPECIFIC INSTRUCTIONS
Column A - Enter Registration Number and Name of Retailer.
B - Enter date of invoice.
Schedule 800 NR:
C - Enter invoice number.
D - Enter number of blue stamped 20's sold. (For information
Part 1: Cigarette Inventory (Section A, B &C):
only to be included in Section A Line 4.)
E - Enter number of blue stamped 25's sold. (For information
Section A: Taxable Regular (Blue Stamps @ $0.58 for 20's and $0.725 for
only to be included in Section A Line 4.)
Line 1 - Enter your ending inventory from Section A line 3 from prior month.
F - Enter number of red stamped 20's sold.
Line 2 - Enter packages stamped for sale in Arizona during month.
G - Enter number of red stamped 25's sold.
Line 3 - Enter ending inventory of packages stamped for sale in Arizona
H - Enter number of green stamped 20's sold.
last day of month.
I - Enter number of green stamped 25's sold.
Line 4 - Enter the stamped packages delivered in Arizona.
Total by reservation - Enter total of each column.
Balance forwarded from other reservations - Enter total of each attached
Section B: Taxable Reservation (Red Stamps @ $0.40 for 20's
Schedule 800NR - C.
and $0.50 for 25's)
Grand total of all reservations.
Line 1 - Enter your ending inventory from Section B line 3 from prior
Complete a separate Schedule 800NR - C for each reservation.
month.
Line 2 - Enter packages stamped for sale in Arizona during month.
Line 3 - Enter ending inventory of packages stamped for sale in Arizona
last day of month.
Line 4 - Enter the stamped packages delivered in Arizona to Indian
ADOR 20-2013 (3/95)
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