Form Mt-200 - Tobacco Products Tax Floor Tax Return - New York State Department Of Taxation And Finance Page 3

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MT-200 (6/02) Page 3 of 3
Schedule B — Inventory schedule – vending machine operators
In the columns below, list your warehouse as well as each vending machine separately.
Give the business name and address where each machine is located, and the identification or control card number and inventory
of each machine.
A
B
C
D
E
Identification or control
Type of product
Number of cigars or
Total wholesale price of
Business name and address
card number of each
(cigars, snuff, chewing
pounds of tobacco
each type of product
where tobacco products are
vending machine
tobacco, pipe tobacco,
listed in column C
stored, kept, or offered for sale
roll-your-own, or other)
(report each vending machine
(please specify)
separately)
Include column E total on line 2 on page 1

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