Fillable Form Tb-1 - Vermont Wholesale Tobacco Dealer Report printable pdf download

Vermont Department of Taxes

PO Box 547

Montpelier, VT 05601-0547

Phone: (802) 828-2551

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VERMONT WHOLESALE TOBACCO DEALER REPORT

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TB-1

This report is due on or before the 15th of each month to cover the preceding month.

Dealer’s Name

Federal ID Number

Address

Month

Year

City, State, ZIP Code

State License Number

E-mail address

Telephone Number

NEW SMOKELESS TOBACCO (NST)

(For units less than 1.2 ounces in weight. For larger units, report as “SNUFF”.)

1. Number of units sold during the month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1._________________________

2. NST Tax due (Multiply Line 1 by $2.24) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2._________________________

SNUFF

3. Total number of ounces sold during the month . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3._________________________

4. Snuff Tax due (Multiply Line 3 by $1.87) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4._________________________

OTHER TOBACCO PRODUCTS (OTP)

5. Gross noncigar sales wholesale price exclusive of tax

(Multiply tax-included price by .521) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5._________________________

6. Exempt sales (Attach explanation of exempt sales.) . . . . . . . . . . . . . . . . . . . . . . . . .6._________________________

7. Net taxable sales (Subtract Line 6 from Line 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7._________________________

8. OTP Tax due excluding cigars (Multiply Line 7 by 92%) . . . . . . . . . . . . . . . . . . . . .8._________________________

9. Tax due on cigars (from Cigar Schedule B, Line 26) . . . . . . . . . . . . . . . . . . . . . . . . .9._________________________

10. Total OTP Tax Due (Add Line 8 plus Line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10._________________________

TOTAL TAX DUE

11. Tax due on NST, Snuff, and OTP (Add Lines 2, 4, and 10) . . . . . . . . . . . . . . . . . . .11._________________________

12. Discount if paid by the 15th (Multiply Line 11 by 2%) . . . . . . . . . . . . . . . . . . . . . .12._________________________

13. TOTal Tax Due (Subtract Line 12 from Line 11) . . . . . . . . . . . . . . . . . . . . . . .13._________________________

Make checks payable to Vermont Department of Taxes

This report is for use by wholesale distributors and others who import tobacco products from out-of-state on which the Vermont

tobacco tax has not been reported and paid.

Nonresident dealers must attach a schedule showing dates, invoice numbers, name and address of customer, and wholesale

price of the shipments into Vermont. See example on back.

Exempt sales include sales to other Vermont wholesale distributors, sales shipped out of Vermont by distributors, sales to the

United States, or sales to or by a voluntary, unincorporated organization of the armed forces of the U.S. operating a place for the

sale of goods pursuant to regulations created by the executive agency of the U.S. To qualify as an exempt out-of-state shipment,

tobacco products must be shipped out-of-state and not picked up by the customer in Vermont. Complete Schedule A. Use extra

pages if necessary, following the same format. Record the “Retail Price”, if applicable.

SIGNATURE

I hereby swear, under pains and penalty of perjury, that this information is true and correct to the best of my knowledge.

Sign



Here

Signature of Licensee

Printed Name

Title

Date

Form TB-1

(Rev. 01/12)

Form Tb-1 - Vermont Wholesale Tobacco Dealer Report

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