Form 800-20 - Cigarette Distributor'S Monthly Report - 1996

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ARIZONA FORM
Arizona Department of Revenue
Luxury Tax
800 - 20
Tobacco Tax Section
1600 W Monroe
Phoenix AZ 85007
Cigarette Distributor's Monthly Report
For the Month of __________________________ 19 __________
This return must be filed with the Department of Revenue not later than the 20th day of
the 1st month following the month for which this return is made.
Licensed distributor - name
Tobacco license no.
Taxpayer ID (EIN or SSN )
Address - mailing
Address - business location
City
State
ZIP code
City
State
ZIP code
Read Instructions Beginning on Page 7
Cigarette Inventor y
Packages of 20
1. Beginning inventory:
unstamped packages
.......................................................................................................................................................................................................
2. Additions: Received during month Schedule A1-A4 and Schedule E
..............................................................................................................................
3. Total unstamped packages to account for
.......................................................................................................................................................................
4. Deductions:
a. Exported from state - Schedule C
...............................................................................................................................................................................
b. Sold to exempt Arizona Indian Reservations - Schedule D
........................................................................................................................................
c. Ending inventory - unstamped packages
....................................................................................................................................................................
Stamp Inventory
Blue
Red
Green
Total
7. Beginning inventory - stamps on hand
..............................
8. Stamps purchased during month
......................................
9. Total stamps
available.........................................................
10. Deductions
a. Stamps spoiled
.............................................................
If line 6 plus line 4b. does not equal line 12 total, attach explanation of difference to the back of this report.
Declaration of preparer (other than taxpayer) is based on all information of
I have read this report and any attachments with it. Under penalties of perjury,
which preparer has any knowledge.
I
Preparer's Signature
Taxpayer's/Authorized Agent's Signature
Preparer's TIN
Title
ADOR 20 2027 (3/96)

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