Form Ct-111 - Cigarette Warehouse Report - 2010 Page 2

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INSTRUCTIONS
WHO MUST FILE THIS REPORT
HOW TO COMPLETE THIS REPORT
All cigarette warehouse permittees located in
Wisconsin who store unstamped cigarettes must
Line 1 Name of Cigarette Manufacturer. Identify
file this report each month with the department.
all cigarette manufacturers for which you store un-
stamped cigarettes. If you store unstamped ciga-
DUE DATE
rettes for more than three cigarette manufacturers,
Your report is due 15 days after the close of
attach an additional schedule providing the same
the month. To be timely filed, a report must be
information as requested on lines 2 through 8 on
postmarked by a United States Post Office on or
the Form CT-111. The “Total” column on your Form
before its due date and received by the department
CT-111 must reflect activity for all of the cigarette
within five days of the due date.
manufacturers covered by your report.
RECORD KEEPING
Line 2 Beginning Inventory. In each column enter
You must keep a complete copy of your report and
the inventory shown on Line 7 of your preceding
all records pertaining to your business for at least
month’s Form CT-111.
four years. The report must be kept at the permit
location in a place and manner easily accessible for
Line 3 Receivals. Enter the total number of single
review by department representatives.
cigarettes you received during the month from the
various cigarette manufacturers. It is not necessary
NAME/ADDRESS/OWNERSHIP CHANGES
to submit schedules detailing your receivals.
Immediately notify the department in writing when
However, you are required to maintain records
your business undergoes any change to its name,
of receivals at your warehouse for examination
address, or ownership.
by department personnel.
ASSISTANCE AND FORMS
Line 5
Shipments. Enter the total number of
Information, forms, and assistance are available at
single cigarettes by manufacturer that you shipped
our Madison office:
during the month to cigarette distributors, military
installations, and veterans hospitals. It is not
Mail Stop 5-107
necessary to submit schedules detailing your
PO Box 8900
shipments. However, you must keep records
Madison WI 53708-8900
of shipments at your warehouse for review by
(608) 266-8970
department personnel.
FAX: (608) 261-7049
Line 7 Ending Physical Inventory. At the end of each
or write to:
month, you must take a physical inventory of the
unstamped cigarettes in your warehouse. On Line
2135 Rimrock Road
7, enter the total number of unstamped cigarettes
Madison WI 53713
you have on hand per manufacturer based on your
E-mail: excise@revenue.wi.gov
physical inventory.
INTERNET ADDRESS
Line 8 Inventory Discrepancies. If the number of
You can access the department’s website at
cigarettes you enter on Lines 6 and 7 are not equal,
you have an inventory discrepancy. To compute the
amount of the discrepancy, subtract Line 7 from
From this website, you can:
Line 6 in each column and enter the difference on
• Complete electronic fill-in forms
Line 8. When Line 7 exceeds Line 6, use a negative
• Download forms, schedules, instructions, and
sign in front of the amount on Line 8.
publications
• View answers to frequently asked questions
• E-mail us for assistance

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