Michigan Department of Treasury
4256 (Rev. 04-10)
T-108: Schedule of Other Tobacco Products Sales (Disbursements)
Important: Read the instructions on Page 2 before completing this schedule.
2. Account Number (FEIN, ME or TR Number)
3. Michigan License Number
4. Reporting Period (MM/CCYY)
CHECK ONE box below to identify what is itemized on this schedule. Do not combine schedule types or product codes.
T-108a: Schedule of Untaxed Other Tobacco Product Sales in Michigan to Licensed Wholesalers (Out-of-State Unclassified Acquirers Only)
T-108b: Schedule of Other Tobacco Product Sales in Michigan from tax-unpaid inventory
T-108c: Schedule of Other Tobacco Product Sales from Tax Paid Inventory
T-108d: Schedule of Other Tobacco Product Sales in Michigan to U.S. Agencies
NPM Roll-Your-Own (RYO) Tobacco Products
Sold to Information
Address of Purchaser
Attach to your Michigan WT-100, AT-100, and ST-100 forms.