Form Rpd-413115 - Cigarette Distributor'S Monthly Report Form - Taxation And Revenue Department - New Mexico Page 3

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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 - Supplemental page
Name of business facility
FEIN or SSN
Page ____ of ____
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

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