Form 530 - Oregon Quarterly Tax Return For Tobacco Distributors - 2010
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2010
REVENUE USE ONLY
Form
Date Received
•
530
OREGON QUARTERLY TAX RETURN
Payment Received
FOR TOBACCO DISTRIBUTORS
•
1
Quarter
Due date
Distributor’s license no.
Business ID no.
Program
Year
Period
Liability
•
•
•
•
•
530
10
1
03
01/01/10–03/31/10 April 30, 2010
Federal Identification No.
Quarter
Name: _ ___________________________________________________________________
Check if address, name change,
or entity change
Mailing address: ___________________________________________________________
Check if this is an amended
return
City: _______________________________________ State: ____ ZIP: ______________
Check if correspondence is
included
Please use blue or black ink when filling out this form.
, not like this: (
) . NO COMMAS!
Print numbers like this:
, not like this:
. Enter negative numbers like this:
–
You are a(n): Individual Partnership Corporation Other: ___________________________________________
SECTION 1—All Tobacco Products Tax (excluding moist snuff, chewing tobacco, and cigars)
•
1. Wholesale price of untaxed tobacco products (Schedule 1A) . .................................................................. 1
•
2. Wholesale price of tobacco products eligible for credits (Schedule 1B) ............................................ 2
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3. Wholesale price of tobacco products sold into other states (Schedule 1C)....................................... 3
4. Net wholesale price of untaxed tobacco products (line 1 minus lines 2 and 3) ................................. 4
5. Tobacco products tax (multiply line 4 by 0.65) ................................................................................... 5
SECTION 2—Moist Snuff Tax on Units at or Below Floor
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6. Number of units (1.2 oz or less) of untaxed moist snuff (Schedule 2A) . ............................................... 6
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7. Number of units (1.2 oz or less) eligible for credits (Schedule 2B) ....................................................... 7
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8. Number of units (1.2 oz or less) sold into other states (Schedule 2C) .................................................. 8
9. Net number of units of untaxed moist snuff (line 6 minus lines 7 and 8) .............................................. 9
1 0. Moist snuff tax on units at or below floor (multiply line 9 by $2.14) .................................................. 10
SECTION 3—Moist Snuff Tax on Units Above Floor
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11. Ounces of untaxed moist snuff (Schedule 3A) . ................................................................................. 11
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1 2. Ounces of moist snuff eligible for credits (Schedule 3B) ................................................................. 12
•
1 3. Ounces of moist snuff sold into other states (Schedule 3C)............................................................. 13
1 4. Net ounces of untaxed moist snuff (line 11 minus lines 12 and 13) ..................................................... 14
1 5. Moist snuff tax on units above floor (multiply line 14 by $1.78) . ........................................................ 15
150-605-004 (Rev. 12-09)
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