Form Cg-5/6-Att - Schedule B - Cigarette Packages Stamped During The Month - State Of New York

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New York State Department of Taxation and Finance
CG-5/6-ATT
Schedule B — Cigarette Packages Stamped
(2/02)
During the Month
Transaction and Transfer Tax Bureau FACCTS/Cigarette Tax
Read instructions for Parts I and II carefully (in Form CG-5/6-ATT- I ) . This form must be attached to your monthly return, either
Form CG-5 or CG-6.
Name of agent
Federal employer identification number (FEIN)
Filed with return for the calendar
Month:
Year:
Part I - Cigarette packs purchased directly from their manufacturers to which you affixed New York State
tax stamps this month.
Column A
Column B
Column C
Number of packs you affixed with New York State tax stamps
Manufacturer’s
Name and address of manufacturer
FEIN
Packs of 1 - 10 cigarettes
Packs of 11 - 20 cigarettes
Packs of 21 - 25 cigarettes
1 - Total packs listed in Part I ......................................................................................................................
2 - Total packs listed on attached additional Part I sheets ..............................................................
3 - Total packs listed in Part II (from back) ......................................................................................
4 - Total number of cigarette packs stamped (add lines 1, 2, and 3) . These amounts must
match the total number of tax stamps required to be affixed to each pack size
as shown on Form CG-5, Part III, line 15 or Form CG-6, Part II, line 17. ................................

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