Form Cg-6 - Resident Agent Cigarette Tax Report (Page 2 of 2) in pdf

CG-6 (4/06) (back)

Instructions for Part I

(continued)

Line 9 — Enter the number of unstamped cigarettes (sticks)

Note: If you sell 6,000 or more cartons of cigarettes to any

sold or transferred to dealers or vendors located on recognized

customer during any one month, remember to report these sales

American Indian reservations within New York State for each

by attaching a completed Form CG‑5.5/6.5, Schedule F — Sales

pack size. Be sure to complete and attach Form CG‑5.4/6.4,

of Cigarettes Exceeding 6,000 Cartons, to your next quarterly

Schedule E — Sale of Cigarettes to Dealers/Vendors on American

report for March, June, September, or December.

Indian Reservations, to substantiate these transactions.

Part II — Report of NYS cigarette stamps

(Use quantity and not face value of stamps)

Tax stamps for packs of 20 cigarettes

Tax stamps for packs of 21 ‑ 25 cigarettes

state only

joint‑state/city

state only

joint‑state/city

12 Inventory of unaffixed stamps at

beginning of the month ....................... 12

13 Unaffixed tax stamps purchased

during the month ................................. 13

14 Total

......................... 14

(add lines 12 and 13)

15 Inventory of unaffixed stamps at end

of the month ........................................ 15

16 Stamps used this month

(subtract

................................ 16

line 15 from line 14)

17 Stamps required to be affixed to

packs of cigarettes .............................. 17

18 Difference

(subtract line 17 from line 16

....................... 18

and attach an explanation)

Instructions for Part II

Line 17 — Enter the number of tax stamps required to be affixed

Line 12 — Enter the number of unaffixed tax stamps on hand

to packs of cigarettes during the month for each pack size. The

at the beginning of the month for each pack size. This opening

total number of tax stamps (both state only and joint‑state/city

inventory should be the same as the previous month’s closing

tax stamps) for each pack size must match the amount shown on

inventory; attach an explanation if these figures are not the same.

line 6 of Form CG‑5/6‑ATT, Schedule B.

Line 15 — Enter the number of unaffixed tax stamps on hand

Line 18 — If the amounts on lines 16 and line 17 are not

at the end of the month for each pack size. This amount is your

the same, enter the amount of the difference and attach an

closing inventory for the month, and should also be your opening

explanation as to why the amounts on line 16 and 17 do not

inventory for the next month.

match.

Part III — Report of cigarette stamps affixed to packs in inventory at end of month

(Use quantity and not face value of stamps)

Tax stamps for packs of 20 cigarettes

Tax stamps for packs of 21 ‑ 25 cigarettes

state only

joint‑state/city

state only

joint‑state/city

19 Tax stamps affixed to packs of

cigarettes in inventory at end of month 19

I hereby certify that this is a true and complete report to the best of my knowledge and belief.

Date

Authorized signature

Official title

Date

Signature of individual or firm preparing this report

Preparer’s address

Mail your report and any related schedules and attachments to: NYS TAX DEPARTMENT, TTTB FACCTS - CIGARETTE TAX, W A HARRIMAN CAMPUS, ALBANY NY 12227

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Need help?

The Commissioner of Taxation and Finance may collect and maintain personal information

pursuant to the New York State Tax Law, including but not limited to, sections 171, 171‑a,

Internet access:

287, 308, 429, 475, 505, 697, 1096, 1142, and 1415 of that Law; and may require disclosure

(for information, forms, and publications)

of social security numbers pursuant to 42 USC 405(c)(2)(C)(i).

This information will be used to determine and administer tax liabilities and, when

Fax-on-demand forms:

1 800 748‑3676

authorized by law, for certain tax offset and exchange of tax information programs as well as

for any other lawful purpose.

To order forms and publications:

1 800 462‑8100

Information concerning quarterly wages paid to employees is provided to certain state

Business Tax Information Center:

1 800 972‑1233

agencies for purposes of fraud prevention, support enforcement, evaluation of the

From areas outside the U.S. and

effectiveness of certain employment and training programs and other purposes authorized

outside Canada:

(518) 485‑6800

by law.

Hearing and speech impaired

Failure to provide the required information may subject you to civil or criminal penalties, or

(telecommunications device for the

both, under the Tax Law.

deaf (TDD) callers only):

1 800 634‑2110

This information is maintained by the Director of Records Management and Data Entry, NYS

Tax Department, W A Harriman Campus, Albany NY 12227; telephone 1 800 225‑5829.

From areas outside the United States and outside Canada, call (518) 485‑6800.

Form Cg-6 - Resident Agent Cigarette Tax Report Page 2

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