Form To-641 - Wholesale Tobacco Dealer Report
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3Vermont Form TO-641
Wholesale Tobacco Dealer Report
This report is for use by wholesale distributors and others who import tobacco products from out-of-state on
which the Vermont tobacco tax has not been reported and paid.
Nonresident dealers must attach a schedule showing dates, invoice numbers, name and address of customer,
and wholesale price of the shipments into Vermont.
Exempt sales include sales to other Vermont wholesale distributors, sales shipped out of Vermont by distributors,
sales to the United States, or sales to or by a voluntary, unincorporated organization of the armed forces of the
U.S. operating a place for the sale of goods pursuant to regulations created by the executive agency of the U.S.
To qualify as an exempt out-of-state shipment, tobacco products must be shipped out-of-state and not picked up
by the customer in Vermont. Complete Schedule A. Use extra pages if necessary, following the same format.
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