2004 Tt-115 - Tobacco Products Sales To / Returns From Authorized Retail Stores On Indian Reservations Form - State Of Wisconsin

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Instructions
FYI - Click in 'Page' field to begin, and tab throughout.
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TOBACCO PRODUCTS SALES TO / RETURNS FROM
AUTHORIZED RETAIL STORES ON INDIAN RESERVATIONS
(attach this schedule to your TT-100 or TT-105)
Please read the instructions on the reverse side before completing this form.
TT-115: Page
of
Name
Federal Employer ID No.
Wis. Permit Number
Month & Year
TPD –
Name of
Invoice
LIne
Store Location
Manufacturer’s
Authorized Retail Store
Street Address & City
No.
Number
Tribe
List Price
Date
Balance Brought Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
$
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
$
28
TOTAL - Add lines 1 through 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TT-115 (R. 5-04)
Wisconsin Department of Revenue

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