Form Ct205 - Quarterly Interstate Commerce Report - Department Of Revenue - Minnesota

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CT205
Quarterly Interstate Commerce Report
Read instructions on back.
Name
Minnesota tax ID number
Period of return (mo/yr)
Page
of
Participating-manufacturer brands
Nonparticipating-manufacturer brands
Cigarettes sold to:
Brand
Style
Quantity
Cigarettes sold to:
Brand
Style
Quantity
(name/address/state)
(name/address/state)
Totals from previous page, if any
Totals from previous page, if any
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Total participating-manufacturer cigarettes
Total nonparticipating-manufacturer cigarettes
(Rev. 8/10)

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