Form Tp-102 - Tobacco Product Tax Credit - 2005

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MONTANA
TP-102
Rev 1-05
Tobacco Product Tax Credit
Business Name
License No.
Date
Principal or Agent Name
Phone
Address
Fax
City
State
Zip
Instruction for form preparation
1. Prepare in duplicate. Submit the original to Montana Department of Revenue, Customer Intake Process, P.O. Box
1712, Helena, MT 59604-1712. Retain a duplicate in company file for field audit purposes.
2. Credit for sales to out-of-state retailers must be substantiated with copies of the original sales slips or invoices. The
amount shown on schedule A must agree with total(s) of attached invoice(s). On line 1, dealers must compute the
cost on all sales.
3. Credit claimed on schedule B for merchandise returned to a manufacturer due to age, damage in transit, etc., must be
substantiated with copies of all credit memos from the manufacturer.
Section 1 – Sales to out-of-state retailers, and products returned to manufacturer
1. Gross total wholesaler value of other tobacco products sold
to out-of-state retailers (total column A, schedule A) ................................ $ ___________________
2. Total moist snuff products weight sold to out-of-state retailers
(total column B, schedule A) ...................................................................... ___________________
oz
3. Gross total value of other tobacco products credit memos
(total column A, Schedule B) ...................................................................... $ ___________________
4. Total moist snuff products weight on credit memos
(total column B, schedule B) ...................................................................... ___________________
oz
318

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