Arizona Form 819nr - Nonresident Distributor'S Monthly Return Of Cigars And Tobacco Products Sold (For Nonresident Licensed Distributors) - Arizona Department Of Revenue Page 6

Download a blank fillable Arizona Form 819nr - Nonresident Distributor'S Monthly Return Of Cigars And Tobacco Products Sold (For Nonresident Licensed Distributors) - 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 819nr - Nonresident Distributor'S Monthly Return Of Cigars And Tobacco Products Sold (For Nonresident Licensed Distributors) - 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 819NR

Schedule B-2

Sales of Cigars and/or Tobacco Products Sold on Arizona Indian Reservations That Have Enacted and Collect Their Own Tax

for only the §42-3251 Tax Rate

LEGAL BUSINESS NAME

BUSINESS (OR DBA) NAME

TOBACCO LICENSE NO.

RESERVATION NAME

FOR THE MONTH OF

MONTH YYYY

Include copies of invoices. Please see instructions and deﬁ nitions beginning on page 15.

“-1” R

ETAILERS

No. of Small

No. of Ounces Sold

(Include allocated tax free sales to “-2” Retailers.)

Cigars Sold

No. of Cigars Sold

Smoking Tobacco,

No. of Ounces Sold

Invoice

weighing not more

for

Snuff, Fine Cut

Cavendish, Plug,

Registration Number

Name of Purchaser

Date

Number

than 3 lbs/1000

$.05 or less

more than $.05

Chewing, etc.

or Twist

1. Totals ...........................................................................................................................................

$.129 per 20

$.064 per 3

$.064 each

$.065 per oz.

$.016 per oz.

$.129 per 20

$.064 per 3

$.064 each

$.065 per oz.

$.016 per oz.

§42-3052 and §42-3251 Rates....................................................................................................

2. Total amount due distributor for taxes paid but not collected ......................................................

3. Total amount due distributor for taxes paid but not collected from “-1” Retailers (sum of line 2) ..................................................................................................................................

“-2” R

ETAILERS

(Do not include the allocated tax free sales listed under “-1” Retailers.)

Invoice

Small Cigars

Cigars

Ounces

Registration Number

Name of Purchaser

Date

Number

3 lbs/1000 or less

$.05 or less

more than $.05

Tobacco, etc.

Cavendish, etc.

4. Totals ...........................................................................................................................................

$.089 per 20

$.044 per 3

$.044 each

$.045 per oz.

$.011 per oz.

$.089 per 20

$.044 per 3

$.044 each

$.045 per oz.

$.011 per oz.

§42-3251 RATE...........................................................................................................................

5. Net amount due distributor for taxes paid but not collected ........................................................

6. Total amount due distributor for taxes paid but not collected from “-2” retailers (sum of line 5)....................................................................................................................................

7. Total amount due distributor for taxes paid but not collected (sum of lines 3 and 6). Enter here and on page 1, line 3a ...................................................................................

Page 6 of 17

ADOR 14-5322f (8/05)