Form Tt-100 - Wisconsin Distributor'S Tobacco Products Tax Return - 2010
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1
2TT-100
WISCONSIN DISTRIBUTOR’S
Form
TOBACCO PRODUCTS
Tax Account Number
Wisconsin
TAX RETURN
Department of Revenue
FEIN / SSN
Month Covered (MM DD YYYY)
Use BLACK INK Only
Cancel my permit effective
Legal Name
Business Name (DBA)
(MM DD YYYY)
Check if address, name change,
Permit/Business Address
or entity change
Check if this is an amended return
City
State
Zip Code
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NO COMMAS
SECTION 1
ALL TOBACCO PRODUCTS TAX (excluding moist snuff and cigars)
.00
1. Total untaxed tobacco products purchased/sold (see instructions) . . . . . . . . . . . . . 1
2. Credit for exempt organizations/returned merchandise/short shipments
.00
(Form TT-101, schedule 3, untaxed credits, line 20) . . . . . . . . . . . . . . . . . . . . . . . . 2
.00
3. Sales to other states (Form TT-101, schedule 5, untaxed sales, line 20) . . . . . . . . 3
.00
4. Net untaxed tobacco products purchased/sold (subtract lines 2 and 3 from line 1) 4
71%
5. Tobacco products tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
.00
6. Tobacco products tax (multiply line 4 by line 5 and round to the nearest dollar) . . . 6
SECTION 2
MOIST SNUFF TAX
7. Total untaxed moist snuff purchased/sold
(see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
.00
8. Credit for exempt organizations/returned merchandise/short shipments
.00
(Form TT-101M, schedule 3, untaxed credits, line 20) . . . . . . . . . . . . . . . . . . . . . . 8
.00
9. Sales to other states (Form TT-101M, schedule 5, untaxed sales, line 20) . . . . . . 9
.00
10. Moist snuff tax (subtract lines 8 and 9 from line 7) . . . . . . . . . . . . . . . . . . . . . . . . . 10
For Department Use Only
TT-100i (R. 3-10)
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