Arizona Form 800-25 - Cigarette Distributor'S Monthly Return - Arizona Department Of Revenue Page 10
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12AZ FORM 800-25
Schedule E
Summary of Purchases
Total received from:
Packages of 25
Schedule A-1: Participating Manufacturers .....................................
Schedule A-2: Nonparticipating Manufacturers...............................
GRAND TOTAL (Enter here and on page 1, line 2)..............................
Instructions
Line 5: Enter the total of lines 4a through 4c.
General Instructions
Line 6: Subtract line 5 from line 3.
You must fi le this return if you are licensed to distribute cigarettes
within the state of Arizona.
Line 7: Enter the ending inventory number from line 10b from
th
the previous month’s report. If the fi gures are not equal, attach
You must fi le the return monthly on or before the 20
day after the
an explanation for the differences.
month the cigarettes have been sold.
Line 8: Enter your purchases of stamps during the month.
Prepare this return for each month regardless of whether
or not any sales have been made. File the original with the
Line 9: Enter the total of lines 7 and 8.
Department of Revenue (DOR). Retain a copy of the return with
Line 10a: Enter the number of stamps that were spoiled during
all substantiating documentation for at least four years, subject to
the month.
inspection by the department.
Line 10b: Enter your ending inventory of stamps for this month.
Report all cigarettes in packages except where asked to report
individual cigarettes.
Line 11: Enter the total of lines 10a through 10b.
You may substitute a computer-generated schedule for any of the
Line 12: Subtract line 11 from line 9. Enter the amount.
DOR schedules. You must obtain prior approval of your substitute
Line 13: Enter the ending inventory number from line 16 from
schedules. Your substitute schedules must be in the same format
the previous month’s report. If the fi gures are not equal, attach
as the DOR schedules and contain all required information.
an explanation for the differences.
You must provide your taxpayer identifi cation number on the
Line 14a: Enter all cigarettes that were stamped, but were not
return. A tax identifi cation number is either your federal Employer
shipped, during the month. Packages bought and not sold (add
Identifi cation Number (EIN), or your Social Security Number
to physical inventory).
(SSN) if you are a sole proprietor with no employees.
Line 14b: Enter the number of cigarettes that were shipped
The Licensee or Authorized Agent must sign the return.
out of inventory during the month (packages actually taken
If you pay a preparer to complete the return, the preparer must
from inventory). Deduct from inventory only if you sell more
sign the return and include his or her identifi cation number.
cigarettes than you purchased and stamped for the month.
Line 15: Subtract line 14b from line 14a. Enter the amount.
Page 1 Instructions
Line 16: Enter your ending inventory of stamped packages in
Line 1: Enter the ending inventory number from line 4c from the
your possession at the end of the month. This should be the
previous month’s report. If the fi gures are not equal, attach an
sum of lines 13 and 15.
explanation for the differences.
Line 2: On Schedules A-1 and A-2, enter all cigarettes you
Special Defi nitions for
have received or purchased this month. Complete Schedule E
Schedules A-1 through A-4:
by adding the number of packages received from the different
distributors. Attach the schedule to the return.
“Cigarette” means any product that contains nicotine, is intended
to be burned or heated under ordinary conditions of use, and
Line 3: Enter the total of lines 1 and 2.
consists of or contains: (1) any roll of tobacco wrapped in paper
Line 4a: On Schedule C-1 and/or Schedule C-2, enter any
or in any substance not containing tobacco; or (2) tobacco,
unstamped cigarettes sold out of state during the month. Attach
in any form, that is functional in the product, which, because
the schedules to the return.
of its appearance, the type of tobacco used in the fi ller, or its
packaging and labeling, is likely to be offered to, or purchased
Line 4b: Enter all packages of cigarettes stamped with tax
by, consumers as a cigarette; or (3) any roll of tobacco
stamps for states other than Arizona.
wrapped in any substance containing tobacco which, because
Line 4c: Enter the ending inventory for this month. This should
of its appearance, the type of tobacco used in the fi ller, or its
be your total inventory of unstamped packages in your possession
packaging and labeling, is likely to be offered to, or purchased
at the end of the month.
by, consumers as a cigarette described in clause (1) of this
Page 10 of 12
ADOR 14-2042f (6/05)
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