Form Ct16-P - Cigarette Paper And Tube Tax Return For Out-Of-State Distributors

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Mail to:
INDIANA DEPARTMENT OF REVENUE
Indiana Department of Revenue
Cigarette Paper and Tube Tax Return
P.O. Box 901
for Out-of-State Distributors
Indianapolis, Indiana 46206-0901
For the Period of _________________, _____
CT16-P
Distributor’s License Number _______________
SF 48480
7-05
Name of License Holder
License Number
Address
Federal I.D. Number
City
State
Zip Code
Telephone Number
Part I - Cigarette Paper and Tube Accountability
LOOSE
CARTON
CARTON
CARTON
PAPERS
REQ 1
REQ 2
REQ 3
w/TOBACCO
1
Indiana Sales - Schedule “CPH”
2
Closing Inventory Indiana Stamped
3
Total Lines 1 and 2
4
Beginning Inventory Indiana Stamped
5
Purchased Indiana Stamped - Schedule “CPC”
6
Total Lines 4 and 5
7
Quantity Stamped: Line 3 Minus Line 6
$ .12 Per
8
Tax Rate Per Item Stamped
$ .24
$ .36
$ .12
1200 Papers
9
Tax Due Per Items Stamped
$
$
$
$
* * *
10 Total Tax Due: Add Line 9 All Columns
$
***For Loose Papers with Tobacco: Affix Stamps to Back of Return
Part II - Stamp Accountability
11 Beginning Inventory of Tax Stamps
$
Inv.
Inv.
12 a Add: Purchases During Month
Date
No.
Inv.
Inv.
b
Date
No.
13
Total Lines 11 and 12
$
No. of Stamps
14 Deduct Closing Inventory of Tax Stamps
on Hand
15 Stamps Used During Month
$
16 Overage/Shortage: Line 10 Minus Line 15

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