Clear this page
Print Form
Schedule A – Cigarette Revenue Stamp
TC-720A
Calculation Worksheet
Rev. 10/07
Part 1 — Individual Consumer
(product for use, storage or consumption)
=
1.
Single packs of 20 cigarettes – Participating manufacturer (see Pub. 51) ..................
1.
X .695
=
2. Single packs of 20 cigarettes – Nonparticipating manufacturer (see Pub. 51) ............
2.
X 1.045
=
3. Single packs of 25 cigarettes – Participating manufacturer (see Pub. 51) ..................
3.
X .86875
=
4. Single packs of 25 cigarettes – Nonparticipating manufacturer (see Pub. 51) ............
4.
X 1.30625
...................................................................................................
5. Total (Add lines 1–4. Enter on TC-720, line 1)
5. $
Number of
Multiples
Part 2 — Distributors
Multiples or Rolls Unit Price
Amount
=
6.
20 count stamps – multiples of 15...............................................................................
6.
X 10.43
=
7. 20 count stamps – rolls of 30,000 ...............................................................................
7.
X 20,850.00
8. Total 20 count stamps (Add lines 6 & 7. Enter on TC-720, line 2) ................................................................................
8. $
=
9. 20 count NPM stamps – multiples of 15 ......................................................................
9.
X 15.68
=
10. 20 count NPM stamps – rolls of 15,000 stamps.......................................................... 10.
X 15,675.00
11. Total 20 count NPM stamps (Add lines 9 & 10. Enter on TC-720, line 3) ..................................................................... 11. $
=
12. 25 count stamps – multiples of 10............................................................................... 12.
X 8.69
=
13. 25 count stamps – rolls of 7,200 (T-10) ....................................................................... 13.
X 6,255.00
14. Total T-10 25 count stamps (Add lines 12 & 13. Enter on TC-720, line 4) .................................................................... 14. $
=
15. 25 count stamps – rolls of 7,200 (M-12) (Enter on TC-720, line 5) ............................ 15.
X 6,255.00
Distributors, check for special handling:
Carrier: ____________________
Account number: _______________
Print Form
Delivery Instructions:
Name
Address
City
State
ZIP Code
IMPORTANT: To protect your privacy, use the "Clear form" button when you are finished.
Clear form
1
2
3
