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Form Rpd-413115 - Cigarette Distributor'S Monthly Report Form - Taxation And Revenue Department - New Mexico Page 2

RPD-41315 Schedules

State of New Mexico

Report for

Rev 06/2007

Taxation and Revenue Department

calendar

NEW MEXICO CIGARETTE DISTRIBUTOR'S MONTHLY REPORT

month of: ___________________________

Schedule A - Itemized Beginning Inventory

Name of business facility

FEIN or SSN

Page ____ of ____

Report the beginning inventory of packages of cigarettes in the following categories:

•

Unstamped and held for distribution inside New Mexico. (Must be stamped within 10 days of receipt.)

•

Unstamped and held for distribution outside New Mexico.

•

Stamped and held for distribution inside New Mexico.

Cigarettes in Beginning Inventory

Enter the quantity of packages of cigarettes on hand for each category.

Stamped Inventory

Unstamped Inventory

Brand Family

20's

25's

Tax exempt

Inside state

Outside state

Total quantities of stamped cigarettes from Schedule A must equal line 9 of Form RPD-41315, Cigarette Distributor's

Must equal line 1 of Form RPD-41315,

Must equal line 2 of Form RPD-41315,

From all pages of Schedule A, enter

Monthly Report.

Cigarette Distributor's Monthly Report.

the total quantity of cigarette pack-

ages on hand for each category.

Form Rpd-413115 - Cigarette Distributor'S Monthly Report Form - Taxation And Revenue Department - New Mexico Page 2