2009 Cigarette, Little Cigar, And Moist Snuff Floor Tax Return Wholesalers, Vending Machine Operators, Retailers And Street Vendors

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DI ST DISTRICT OF COLUMBIA GOVERNMENT
Audit Division
OFFICE OF TAX & REVENUE
Cigarette Tax Enforcement Unit
P.O. Box 556
Washington, DC 20044
2009 CIGARETTE, LITTLE CIGAR, AND MOIST SNUFF FLOOR TAX RETURN
WHOLESALERS, VENDING MACHINE OPERATORS, RETAILERS AND STREET VENDORS
Due Date: October 21, 2009
Instructions on Reverse Side
Name
FEIN#
D.C. Cigarette License #
Street Address
City
State
Zip Code
(A)
(B)
(C)
Quantity on
Floor Stock Conversion
Computed Tax
Description of Package Size
Hand as of
Rate/ Additional Tax
Column (A) x (B)
Oct. 1, 2009
Half cases of 300 packs of 20’s
1
$150.00 per half case
$
Full cartons of 10 packs of 20’s
2
$5.00 per carton
$
Full cartons of 10 packs of 25’s
3
$6.25 per carton
$
Full cartons of 8 packs of 25’s
4
$5.00 per carton
$
Loose packs of 20’s
5
$.50 per pack
$
Loose packs of 25’s
6
$.625 per pack
$
Half cases of 240 packs of 10/25’s
7
$150.00 per half case
$
8
Half cases of 240 packs of 8/25’s
$150.00 per half case
$
9
Loose tax stamps - $.50
$.50 per stamp
$
10
Loose tax stamps - $.625
$.625 per stamp
$
11
Little Cigars
$.125 per cigar
$
cigars
(Weight: not more than 4½ lbs. per 1,000)
12
Moist Snuff
$.30 per ounce
$
ounces
(No. of ounces)
Number of packs of 20’s in Vending
13a
$.50 per pack
$
Machines
Number of packs of 25’s in Vending
13b
$.625 per pack
$
Machines
13c
Number of Vending Machines
$250.00 per machine
$
(Alternate Method)
14
$
Total Tax Due
Under penalties of law, I declare that I have examined this return and, to the best of my
knowledge, it is correct.
_________________________________
_____________________________________
Print Name
Business Phone Number
_________________________________
________________________________
______________
Signature
Title
Date
FR-463 (Rev 09/09)

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