SCHEDULE A-2
SCHEDULE A-2
SCHEDULE A-2
SCHEDULE A-2
SCHEDULE A-2
STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
TOBACCO PRODUCTS TAX - NONRESIDENT DISTRIBUTOR
(Rev. 07/00)
Record of tobacco products imported into Connecticut
(Total of Schedule A-2 must be reported on Line 1 of Form OP-300, Tobacco Products Tax Return )
Schedule A-2 must be attached to Form OP-300
Name __________________________________________________ Period Ending _________________________________________
Address ________________________________________________ CT Tax Registration Number ______________________________
“Wholesale Sales Price” means the price at which the taxpayer purchased, imported, received or acquired the tobacco products.
DATE
WHOLESALE
IMPORTED INTO
IMPORTED TO
INVOICE NO.
SALES
CONNECTICUT
PRICE
TOTAL