Form Mt-203-W-A - Acquisitions Of Tobacco Products
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1
2MT-203-W-A
New York State Department of Taxation and Finance
Acquisitions of Tobacco Products
(11/10)
Employer identification number (EIN)
Legal name
Quarterly period ending (mm/dd/yy)
(corporation, partnership, or individual name)
Read Form MT-203-W-I, Instructions for Form MT-203-W, before completing. Keep a copy of this completed form for your records.
Schedule 1 — Acquisitions of cigars and tobacco products (other than little cigars and snuff)
A
B
Name and address of supplier
EIN of supplier
Cigars (other than little cigars)
Other tobacco products
No. of individual cigars
Purchase price
Pounds of tobacco
Purchase price
A
B
C
1 Total acquisitions from this Schedule 1
2 Total acquisitions from additional attached sheet(s), if any
3 Total acquisitions
(add lines 1 and 2; enter here and on
Form MT-203-W, line 2, columns A and B)
4 Total purchase price from this Schedule 1
5 Total purchase price from additional attached sheet(s), if any
6 Total purchase price
(add lines 4 and 5)
(continued on back)
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Parent category: Financial