Form Cg-30.1 - Information Regardiing Brands Sold In New Yourk State printable pdf download

Form Cg-30.1 - Information Regardiing Brands Sold In New Yourk State

CG-30.1

New York State Department of Taxation and Finance

Information Regarding Brands Sold in

(2/07)

New York State

Attachment to Form CG-30

Legal name of manufacturer

Date

Federal employer identification number (EIN)

As required by New York State Tax Law section 480-b, every tobacco product manufacturer must list each of its cigarette brands sold for

consumption in New York State from January 1 of the prior calendar year until the date of this annual certification (see Form CG-30-I,

Instructions for Form CG-30).

Legal name of manufacturer

Following is a list of brands sold for consumption in New York State by

Page

for the period January 1, 20

, through

, 20

Complete brand names*

Be sure the complete brand names of the cigarettes are listed, including the following (attach additional sheets if necessary):

• filtered or unfiltered

• size (such as regular, king, 100’s, etc.)

• descriptive information (such as menthol or slim)

• other information as necessary to identify the product

Form Cg-30.1 - Information Regardiing Brands Sold In New Yourk State