Form L-922 - Monthly Tobacco Tax Return - 2010
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41350
STATE OF SOUTH CAROLINA
L-922
DEPARTMENT OF REVENUE
MONTHLY TOBACCO TAX RETURN
(Rev. 6/24/10)
4064
Mail to: SC Department of Revenue, Tobacco Tax, Columbia SC 29214-0138
Office Use Only
Sales Method
IMPORTANT: This return becomes DELINQUENT if it is postmarked after
the 20th day (return and payment due on or before the 20th)
following the close of the period.
Receipt Method
SID
File Number
FEIN/SSN
Period Ended
If no preaddressed label attached, fill in name, address and FEI number.
OTP
Cigarettes
Cigarettes
Tobacco Products
20 ct Packs
25 ct Packs
other than
cigarettes
SCHEDULE A
($ amount)
(A)
(B)
(C)
1.
Beginning inventory
2.
Purchases during month (Sch B, page 2)
3.
Total (line 1 & line 2)
4.
South Carolina tax exempt sales (Sch C, page 2)
5.
Ending inventory
6.
Total tax exempt (line 4 plus line 5)
7.
Taxable sales (Sales method, subtract line 6 from line 3)
8.
Total purchases from manufacturer (Receipt method, subtract
line 4 from line 2)
9.
Tax rate
.57
.7125
.05
10.
Tax due (line 7 times line 9) (Receipt, line 8 times line 9)
11.
Total tax due (add columns A and B)
12.
Less 3.5% Discount for timely pay
13.
Tax due: (line 11 minus 12)
14-1401
14-1408
column C (line 10 minus 12)
14.
Add: Penalty
15.
Add: Interest
16.
TOTAL AMOUNT DUE (lines 13, 14, and 15.)
(Check if payment is by EFT.)
For questions regarding this form call (803) 896-1970.
I hereby certify that the information contained in this report (including accompanying schedules and
statements) has been examined by me and to the best of my knowledge is correct and complete.
Signature
Title
Internet/Email Address
Name(Print)
Date
Daytime Phone Number
40641029
Page 1
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