Arizona Form 800-25 - Cigarette Distributor'S Monthly Return - Arizona Department Of Revenue Page 3

Download a blank fillable Arizona Form 800-25 - Cigarette Distributor'S Monthly Return - Arizona Department Of Revenue in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Arizona Form 800-25 - Cigarette Distributor'S Monthly Return - Arizona Department Of Revenue with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

AZ FORM 800-25

Schedule A-2

Nonparticipating Manufacturer’s Cigarettes Received in Arizona (except roll-your-own tobacco)

LEGAL BUSINESS NAME

BUSINESS (OR DBA) NAME

TOBACCO LICENSE NO.

FOR THE MONTH OF

MONTH YYYY

Please see instructions and deﬁ nitions beginning on page 11. Please provide the following information with respect to all Nonparticipating Manufacturer’s (NPM) cigarettes (excluding

roll-your-own tobacco) that you received in this state regardless of whether such cigarettes were subsequently exported. A list of Nonparticipating Manufacturers, and their brands

authorized for sale in Arizona, is maintained and updated at the Arizona Attorney General’s web site, If you have had no NPM activity during the month above,

complete and submit the Resident Distributor’s Certiﬁ cation of No Nonparticipating Manufacturer’s Activity, page 9.

NONPARTICIPATING MANUFACTURER’S BRANDS:

(a)

(b)

(c)

(d)

(e)

Invoice

Quantity

Nonparticipating Manufacturer’s

Name and Address of Person(s) from

Individual

Name and Address

Whom Purchased

Date

Number

Brand Family

Packs of 25

Cigarettes

TOTAL: Enter here and on Schedule E, Page 10..................................................................................................................................................

Page 3 of 12

ADOR 14-2042f (6/05)