Form Mt-203-W-T - Transfers And Wholesale Sales Of Tobacco Products Page 2
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1
2MT-203-W-T (7/08) (back)
State name
Schedule 2 — Transfers and wholesale sales of tobacco products outside of New York State
A
B
C
D
Name and address of business located in
EIN
Cigars
Snuff containers of less than one ounce
Snuff containers of one ounce or more
Other tobacco products
New York State to whom you sold product
of customer
No. of individual
Selling price
No. of individual
Selling price
Ounces of
Selling price
Pounds of
Selling price
cigars
containers
snuff
tobacco
A
B
C
D
E
F
G
H
I
7 Total transfers and wholesale sales from this sheet
8 Total transfers and wholesale sales from additional
attached sheet(s), if any
9 Total transfers and wholesale sales
(add lines 7 and 8; enter here and
on Form MT-203-W, line 5)
10 Total selling price from this sheet
11 Total selling price from additional attached sheet(s), if any
12 Total selling price
(add lines 10 and 11)
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