Form 04-620 - Cigarette Tax Stamp Order Form - Department Of Revenue
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3INSTRUCTIONS
Alaska Cigarette Tax Stamp Order Form
General Instructions
Effective January 1, 2004, the cigarette excise tax
Line 6. Add the amounts in all columns from line 5
authorized by AS 43.50 must be paid through the
and enter the sum here. This is your total cigarette
use of cigarette tax stamps. Cigarette tax stamps are
tax due on this purchase of cigarette tax stamps.
required to be affixed to packages of cigarettes
before sale or distribution in the state. Form 04-620
Line 7. Enter the amount of tax you have paid or
is used to purchase cigarette tax stamps. You may
are paying with this order. If you are approved for a
order stamps more than once during any month.
deferred payment plan and will be making a
This form must be completed each time you order
deferred payment for this order, enter zero here.
tax stamps. You may also designate someone to
Otherwise the amount you have paid or are paying
order and possess cigarette tax stamps on your
must equal the tax due as calculated on line 6.
behalf by completing Form 04-625 and filing it with
the Tax Division.
Filling Stamp Orders
Stamp orders received before 10:00 a.m. AST will
Specific Instructions
be filled on the same day if you have been pre-
Line 1. Cigarette tax stamps are available in three
approved to purchase tax stamps under a deferred
denominations, 20 cigarettes per pack and 25
payment plan. Otherwise, stamp orders will be
cigarettes per pack for PM cigarettes and 20
filled once verification of funds has been received
cigarettes per pack for NPM cigarettes. The 20
by the Department. In all cases, stamps will be
cigarettes per pack stamps are available for machine
available for pick-up or mailing between the hours
application in rolls of 15,000 and for hand
of 3:00 p.m. and 4:30 p.m. daily. Orders received
application in lots of 150. The 25 cigarettes per
after 10:00 a.m. will be available for pick-up
pack stamps are available only for hand application
between the hours of 3:00 p.m. and 4:30 p.m. the
in sheets of 150. Stamps may not be ordered in
next business day. Under no circumstances will
quantities smaller than 150.
stamp orders be filled on a walk-in basis.
PM cigarettes are cigarettes manufactured by those
Payment for Cigarette Tax Stamps
companies that signed the tobacco master settlement
Payment for cigarette tax stamps is due at the time
agreement. NPM cigarettes are cigarettes
the stamps are ordered unless you have been
manufactured by those companies that did not sign
approved to purchase cigarette tax stamps on a
the tobacco master settlement agreement. A list of
deferred payment basis. You may request to pay
PM and NPM cigarettes approved for sale in
under a deferred payment plan by posting a bond
Alaska can be found on our website at
and completing Form 04-623, Application to
Purchase Cigarette Tax Stamps on Deferred
pliantTPMBrandListings.pdf.
Payment Basis. If approved for deferred payment,
payment is due by the end of the month following
Line 2. Enter the number of rolls, lots, and sheets
the month in which you purchased the tax stamps.
you wish to purchase.
You should remit payment with your monthly tax
return, Form 04-522. If you are not approved for
Line 3. Multiply the number of rolls, lots, and
deferred payment, payment must be made by
sheets indicated in line 2 by the number of stamps
certified or cashier's check, postal money order,
identified in line 1. Enter the product here. This is
cash or by wire or electronic funds transfer. If you
the total number of stamps you wish to purchase
have been an Alaska cigarette taxpayer for more
with this order.
than five years and have an exemplary filing and
payment history, you may use a company check to
Line 5. Multiply the total numbers of stamps on
pay for stamps. For all other taxpayers, stamp
line 3 by the value of each stamp indicated on line
orders will not be filled until funds have been
4.
Form 04-620 Instructions (Rev 12/04)
Page 1 of 2
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