Form 44ct - Cigarette & Tobacco Monthly Tax Return Page 4
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OFFICE OF STATE TAX COMMISSIONER
SFN 23504 (6-1999)
Purchases from Nonparticipating Manufacturers or Importers
(Attach to Form 44CT)
North Dakota Cigarette and Tobacco Products Tax Monthly Return
Taxpayer's Name
For the month of:
Year:
License #
Invoice
Name Of Supplier
Invoice
Number of
Date
Of Purchaser
Number
Brand Name
Individual Cigarettes
Total Number Of Cigarettes ........................................................................................
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Parent category: Financial