Form Cg-6.1 - Schedule A - Unstamped Cigarettes Manufactured, Purchased, Or Otherwise Acquired During The Month

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CG-6.1
New York State Department of Taxation and Finance
Schedule A — Unstamped Cigarettes Manufactured,
(5/05)
Purchased, or Otherwise Acquired During the Month
Transaction and Transfer Tax Bureau FACCTS/Cigarette Tax
Read instructions below carefully. This schedule must be attached to your monthly Form CG-6, Resident Agent Cigarette Tax Report
Name of agent
Federal employer identification number (FEIN)
Filed with report for the calendar
Month:
Year:
Column A
Column B
Column C
Enter number of cigarettes (sticks) in the appropriate column(s)
Name and address of manufacturer (including self) or
Other
seller from whom unstamped cigarettes were purchased
(indicate pack size)
Manufacturer’s
or otherwise acquired
FEIN
20 packs
25 packs
packs
packs
packs
packs
Totals
(enter here and on Form CG-6, Part I, line 2).....
Instructions
Tax period and taxpayer identification
Column B - Enter the federal employer identification number
Enter your legal name, your federal employer identification number
(FEIN) for each manufacturer or supplier listed. If the manufacturer
(FEIN), and the month and year of the period covered by this
or supplier does not have an FEIN, indicate N/A.
schedule.
Column C - For each manufacturer (including yourself, if
Column A - Enter the name and address of each manufacturer
applicable) or supplier who sold or supplied you with unstamped
or supplier who sold you unstamped cigarettes during the
cigarettes, indicate by pack size the number of cigarettes (sticks)
month covered by this report. Include your own business if you
received or manufactured during the month.
manufactured cigarettes for sale.
Attach additional sheets if necessary

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