Other Tobacco Products Excise Tax Return Form Page 2
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5NEVADA DEPARTMENT OF TAXATION
TID & LOC:
OTHER TOBACCO PRODUCTS
FOR MONTH ENDING:
MAIL ORIGINAL TO: NEVADA DEPARTMENT OF TAXATION
1550 COLLEGE PARKWAY SUITE 115
CARSON CITY NV 89706
If the name or address shown is incorrect, if the ownership or business location has changed, or if you are out of business,
please contact the Carson City Department of Taxation.
A RETURN MUST BE FILED EVEN IF NO TAX LIABILITY EXISTS
PLEASE CHECK ONE OF THE FOLLOWING:
OTP EXPORTED FROM NEVADA FOR RETAIL CONSUMPTION OUT OF STATE
OTP SOLD TO A TRIBAL SMOKE SHOP
OTP SOLD TO THE U.S. MILITARY (ARMY, NAVY, AIR FORCE, MARINE CORP)
OTP RETURNED TO THE MANUFACTURER (CREDIT MEMO FROM MANUFACTURER MUST BE ATTACHED)
INVOICE
CUSTOMER NAME AND ADDRESS
WHOLESALE PRICE
DATE
NUMBER
TOTAL WHOLESALE PRICE
OTP-02
REVISED 01-01-08
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