Form T-204 Cig - Cigarette Dealer Monthly Sales & Use Tax Return July 2005
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1
2STATE OF RHODE ISLAND
CIGARETTE DEALER
MONTHLY
DIVISION OF TAXATION * ONE CAPITOL HILL STE 4, PROVIDENCE, RI 02908-5802
SALES & USE TAX RETURN
NAME
1. SALES & USE TAX DUE FOR
THE MONTH
$
ADDRESS
(INCLUDING SALES TAX DUE ON
CIGARETTE SALES)
STMC
CITY, STATE, ZIP
PLEASE DO NOT WRITE IN THIS AREA
I HEREBY CERTIFY THAT THIS RETURN, TO THE BEST OF MY KNOWLEDGE AND
BELIEF, IS A TRUE, CORRECT AND COMPLETE RETURN.
2. LESS: CREDIT FOR PREPAID
$
SALES TAX ON CIGARETTES
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
(FOR THIS MONTH ONLY)
PLEASE DO NOT WRITE IN THIS AREA
TITLE
DATE
3. NET SALES AND USE TAX
$
DUE (LINE 1 LESS LINE 2)
FEDERAL IDENTIFICATION NO.
RETURN FOR MONTH ENDING
T-204 CIG REV 07/05
STATE OF RHODE ISLAND
CIGARETTE DEALER
MONTHLY
DIVISION OF TAXATION * ONE CAPITOL HILL STE 4, PROVIDENCE, RI 02908-5802
SALES & USE TAX RETURN
NAME
1. SALES & USE TAX DUE FOR
THE MONTH
$
ADDRESS
(INCLUDING SALES TAX DUE ON
CIGARETTE SALES)
STMC
CITY, STATE, ZIP
PLEASE DO NOT WRITE IN THIS AREA
I HEREBY CERTIFY THAT THIS RETURN, TO THE BEST OF MY KNOWLEDGE AND
BELIEF, IS A TRUE, CORRECT AND COMPLETE RETURN.
2. LESS: CREDIT FOR PREPAID
$
SALES TAX ON CIGARETTES
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
(FOR THIS MONTH ONLY)
PLEASE DO NOT WRITE IN THIS AREA
TITLE
DATE
3. NET SALES AND USE TAX
$
DUE (LINE 1 LESS LINE 2)
FEDERAL IDENTIFICATION NO.
RETURN FOR MONTH ENDING
T-204 CIG REV 07/05
STATE OF RHODE ISLAND
CIGARETTE DEALER
MONTHLY - QUARTER END RECONCILIATION
DIVISION OF TAXATION * ONE CAPITOL HILL STE 4, PROVIDENCE, RI 02908-5802
SALES & USE TAX RETURN
NAME
1. SALES & USE TAX DUE FOR
THE MONTH
$
(INCLUDING SALES TAX DUE ON
ADDRESS
CIGARETTE SALES)
STMCR
CITY, STATE, ZIP
PLEASE DO NOT WRITE IN THIS AREA
I HEREBY CERTIFY THAT THIS RETURN, TO THE BEST OF MY KNOWLEDGE AND
BELIEF, IS A TRUE, CORRECT AND COMPLETE RETURN.
2. LESS: CREDIT FOR PREPAID
$
SALES TAX ON CIGARETTES
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
(FOR THIS MONTH ONLY)
PLEASE DO NOT WRITE IN THIS AREA
TITLE
DATE
3. NET SALES AND USE TAX
$
DUE (LINE 1 LESS LINE 2)
FEDERAL IDENTIFICATION NO.
RETURN FOR MONTH ENDING
T-204 CIG REV 07/05
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