Form Cig-51 - Claim For Reimbursement Of Cigarette Tax Illegally Or Erroneously Paid And/or Unused Cigarette Tax Stamps Or Meter Impressions

ADVERTISEMENT

Cigarette Tax Form
CIG-51 (Rev. 2/04)
Dealer’s Account Number
94-
P.O. Box 530
Columbus, OH 43216-0530
Claim for Reimbursement of Cigarette Tax
Dealer’s Claim Number
Illegally or Erroneously Paid and/or
Unused Cigarette Tax Stamps or Meter Impressions
State File Number
For the period from
, 20
to
, 20
, inclusive.
1. Name
Print name of dealer as shown on dealer’s license
2. Address
Street
City
State
ZIP code
3.
If records are located at an address other than line 2, show on line 3.
4. Federal employer identification number or, if none assigned for
Federal Identification No.
Social Security No.
reporting federal taxes, please enter your social security number.
5. By an illegal or erroneous payment or assessment ........................................................................ $
If claim is based on cigarettes returned to the manufacturer thereof, state total number of such cigarettes with tax stamps
affixed and total tax amount:
6. State only stamped ...........
x
.0275
=
$
7. Less dealers discount (line 6 x .018)
=
8. Net amount (line 6 minus line 7)
$
9. Combined stamped ...........
x
.02975
=
$
10. Less dealers discount (line 9 x .018)
=
11. Net amount (line 9 minus line 10)
$
12. County only stamped ........
x
.00225
=
$
13. Less dealers discount (line 12 x .018)
=
14. Net amount (line 12 minus line 13)
$
If claim is unused tax stamps or meter impressions, indicate quantity and total face value below.
State Stamps/Meter Impressions
15. 20 stamps .........................
x
.55
=
$
16. 25 stamps .........................
x
.6875
=
17. Meter impressions (units) ..
x
5.50
=
18. Total of lines 15, 16 and 17
19. Less dealers discount (line 18 x .018)
=
20. Net amount (line 18 minus line 19)
$

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 Cig 51 - Claim For Reimbursement Of Cigarette Tax Illegally Or Erroneously Paid And/or Unused Cigarette Tax Stamps Form Cig 51 - Claim For Reimbursement Of Cigarette Tax Illegally Or Erroneously Paid And/or Unused Cigarette Tax Stamps Financial
Form Cig 51 - Claim For Reimbursement Of Cigarette Tax Illegally Or Erroneously Paid And/or Unused Cigarette Tax Stamps Form Cig 51 - Claim For Reimbursement Of Cigarette Tax Illegally Or Erroneously Paid And/or Unused Cigarette Tax Stamps Financial
Form Dtf-804 - Claim For Credit Of Sales Tax Paid To Another State - New York State Department Of Taxation And Finance Form Dtf-804 - Claim For Credit Of Sales Tax Paid To Another State - New York State Department Of Taxation And Finance Financial
Form Cert-106 - Claim For Refund Of Use Tax Paid On A Motor Vehicle Purchased From Other Than A Motor Vehicle Dealer Form Cert-106 - Claim For Refund Of Use Tax Paid On A Motor Vehicle Purchased From Other Than A Motor Vehicle Dealer Financial
Form Tc-55a - Claim For Refund Of Motor Vehicle Fees Or Sales Tax - 2002 Form Tc-55a - Claim For Refund Of Motor Vehicle Fees Or Sales Tax - 2002 Financial
Form Fut 20-a Claim For Reimbursement Of Motor Fuel Use Tax Illegally Or Erroneously Paid Form Fut 20-a Claim For Reimbursement Of Motor Fuel Use Tax Illegally Or Erroneously Paid Financial
Form It-550 Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Form It-550 Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Financial
Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Financial
Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Financial
Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Form It-550 - Claim For Refund Of Georgia Income Tax Erroneously Or Illegally Collected Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2