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Utah State Tax Commission
TC-720
210 N 1950 W • SLC, UT 84134 •
Cigarette and Tobacco Tax on
Rev. 6/10
Untaxed Purchases
EIN / SSN
Name and address (please correct any errors)
Start below this line. Enter your company name and address.
Use this number for
all references
Purchase Date
Return due
See instructions
Unstamped cigarettes purchased for use, storage or consumption in Utah
Column A
B. Tax Rate
C. Tax
=
1.
Single packs of 20 cigarettes – Participating manufacturer (see Pub. 51) ..................
1.
X 1.70
=
2. Single packs of 20 cigarettes – Nonparticipating manufacturer (see Pub. 51) ............
2.
X 2.05
=
3. Single packs of 25 cigarettes – Participating manufacturer (see Pub. 51) ..................
3.
X 2.125
=
4. Single packs of 25 cigarettes – Nonparticipating manufacturer (see Pub. 51) ............
4.
X 2.5625
•
....................................................................................................................
5. Stamp Tax Due (Add lines 1–4)
5. $
Moist Snuff
=
6. Moist Snuff Tax Due (enter total net weight in Column A) .........................................
6.
oz. X 1.83
Other tobacco products (see instructions)
7. Purchase price, including federal tax, shipping & handling, and delivery fees ............
7. $
=
8. Tax Due on Other Tobacco Products (for Column A, multiply line 7 by .60) ............
8. $
X 0.86
Total
9. TOTAL TAX DUE (add lines 5, 6 and 8) .......................................................................................................................
9. $
I declare under penalties provided by law that to the best of my knowledge this return, including any accompanying schedules, is true, complete and correct.
_______ _____________________ _____________
__ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Signature
Date
CIGARETTE /TOBACCO TAX
– TC-720C
EIN / SSN
Purchase Date
Due Date
See instructions
Amount Paid
UTAH STATE TAX COMMISSION
CIGARETTE IMPORTS
210 N 1950 W
SLC UT
84134
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