Schedule C - Tobacco Products Tax - Connecticut Department Of Revenue printable pdf download

Schedule C - Tobacco Products Tax - Connecticut Department Of Revenue

Department of Revenue Services

State of Connecticut

Schedule C

Excise/Public Services Taxes Subdivision

25 Sigourney Street

Hartford CT 06106

Tobacco Products Tax

(Rev. 01/02)

Record of tobacco products (excluding snuff tobacco products) exported from Connecticut

Name __________________________________________________ Period Ending ________________________________________

Address ________________________________________________ CT Tax Registration Number ____________________________

Enter the total of Schedule C on Line 4 of Form OP-300, Tobacco Products Tax Return . Attach Schedule C to the return.

Wholesale Sales Price means: In the case of a distributor which is the manufacturer of the tobacco products, the price set for these

products or, if no price has been set, the wholesale value of these products, and, in the case of a distributor which is not the manufacturer

of the tobacco products, the price at which the distributor purchased the products.

Date

Wholesale

Exported

Exported To

Invoice Number

Sales Price

Total

Schedule C - Tobacco Products Tax - Connecticut Department Of Revenue