Form Mt-200 - Tobacco Products Tax Floor Tax Return - New York State Department Of Taxation And Finance Page 2

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Page 2 of 3 MT-200 (6/02)
Schedule A — Inventory schedule – all vendors other than vending machine operators
The schedule below must be completed by distributors, wholesale dealers (other than vending machine operators) and retail
dealers who are filing a floor tax return for tobacco products that are stored, kept, or offered for sale as of the close of business
on July 1, 2002. If you have more than one business location, you must file one floor tax return covering all locations. Keep the
original inventory report for inspection at each location and forward a duplicate to the location responsible for completing the floor
tax return.
A
B
C
D
Business name, address, and sales tax
Type of product
Number of cigars or pounds
Total wholesale price of each
identification number of each location (if
(cigars, snuff, chewing
of tobacco
type of product listed in
different than that shown on the front of the
tobacco, pipe tobacco,
column B
return)
roll-your-own, or other)
(please specify)
Include column D total on line 1 on page 1

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