Form 801-D - Tobacco Products Tax Return

ADVERTISEMENT

801-
FORM
D
T
P
T
R
OBACCO
RODUCTS
AX
ETURN
TIN/SSN:#
Distributor's Monthly Return of Cigars & Tobacco Products Received for Sale to
Retailers within the Navajo Nation
Please Check Appropriate Box :
Separate Return
Combined Return
Check box if AMENDED and enter correct MONTH/YEAR
(below) being "amended"
Name of Distributor
Reporting Period (Month)
OFFICE USE
(Due 15 days after end of month)
ONLY
Mailing Address
Business Location Address: (if different from above)
(Enter Whole Dollars)
Check here if mailing address has changed.
1. Total Tax Due on Smoking Tobacco, Snuff, etc . . . . . . . . . . . . . . . . . . . . . . . .
(from Schedule A)
2. Total Tax Due on Cavendish, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(from Schedule B)
(from Schedule B)
3. Total Tax Due on Small Cigars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(from Schedule C)
4. Total Tax Due on all other Cigars . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(from Schedule D)
=
5. Tobacco Products Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(add Lines 1, 2, 3, and 4)
=
6. TOTAL TAX DUE (Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For payments
under
$10,000 make
Payments
over
$10,000 must be wire
check payable to the order of & mail to:
transferred to the following account:
Office of the Navajo Tax Commission
The Navajo Nation
Check here if payment
is made by wire transfer
Post Office Box 1903
ACH Routing #: 122105278
Amount
Window Rock, Arizona 86515-1903
Wells Fargo Bank - Window Rock Branch
Phone: (928) 871-6681
Window Rock, Arizona 86515
$
Fax: (928) 871-7608
Wire Transfer Routing #: 122105278
Website:
Tax Depository Account #: 2755351877
I declare that the information contained in this document and any attachments thereto is true and correct to
the best of my knowledge and belief pursuant to all Navajo Nation laws and regulations.
x
(
(
)
)
/
/
Taxpayer or Duly Authorized Agent Signature
Print or Type Name
Telephone Number
Date
ONTC
TOB - Form 801D
Revised: 4/12/2011

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form 800-d - Tobacco Products Tax Return Form 800-d - Tobacco Products Tax Return Financial
Form 801-r - Tobacco Products Tax Return Form Form 801-r - Tobacco Products Tax Return Form Financial
Form 800-d - Tobacco Products Tax Return Form Form 800-d - Tobacco Products Tax Return Form Financial
Form Dr 0229 Tobacco Products Tax Return Form Dr 0229 Tobacco Products Tax Return Financial
Form Op-300 - Tobacco Products Tax Return Form Op-300 - Tobacco Products Tax Return Financial
Form 800-r - Tobacco Products Tax Return Form 800-r - Tobacco Products Tax Return Financial
Form Rpd-41192 - Tobacco Products Tax Return Form Rpd-41192 - Tobacco Products Tax Return Financial
Form Op-300 - Tobacco Products Tax Return Form Op-300 - Tobacco Products Tax Return Financial
Form 4096a - Michigan Tobacco Products Tax Return Form 4096a - Michigan Tobacco Products Tax Return Financial
Form Dr 0229 - Tobacco Products Tax Return Form Dr 0229 - Tobacco Products Tax Return Financial

Related Categories

Parent category: Financial
Download
Go