Form 530 - Oregon Quarterly Tax Return For Tobacco Distributors - 2010 Page 2

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Page 2—First Quarter
Form 530—Oregon Quarterly Tax Return for Tobacco Distributors—Tax Year 2010
SECTION 4—Chewing Tobacco Tax
1 6. Wholesale price of untaxed chewing tobacco (Schedule 4A)........................................................... 16
17. Wholesale price of chewing tobacco eligible for credits (Schedule 4B) . .......................................... 17
1 8. Wholesale price of chewing tobacco sold into other states (Schedule 4C) ..................................... 18
1 9. Net wholesale price of untaxed chewing tobacco (line 16 minus lines 17 and 18) . .......................... 19
2 0. Chewing tobacco tax (multiply line 19 by 0.65) . ................................................................................ 20
SECTION 5—Cigar Tax on Cigars Subject to Cap (cigars purchased for 77¢ or more each)
2 1. Number of untaxed cigars (Schedule 5A) ......................................................................................... 21
2 2. Number of cigars eligible for credits (Schedule 5B) . ........................................................................ 22
2 3. Number of cigars sold into other states (Schedule 5C) ................................................................... 23
2 4. Net number of taxable cigars (line 21 minus lines 22 and 23) .......................................................... 24
2 5. Tax on cigars subject to cap (multiply line 24 by $0.50) ................................................................... 25
SECTION 6—Cigar Tax on Cigars Below Cap (cigars purchased for less than 77¢ each)
2 6. Wholesale price of untaxed cigars (Schedule 6A) ............................................................................ 26
27. Wholesale price of cigars eligible for credits (Schedule 6B) . ............................................................ 27
2 8. Wholesale price of cigars sold into other states (Schedule 6C) ....................................................... 28
2 9. Net wholesale price of untaxed cigars (line 26 minus lines 27 and 28) ............................................ 29
3 0. Tax on cigars below cap (multiply line 29 by 0.65) . ........................................................................... 30
SECTION 7—Tax Summary
3 1. Tax credit carryover from last quarter (enter number as a negative) ................................................ 31
32. Quarterly tax due (add lines 5, 10, 15, 20, 25, 30, and 31) ................................................................ 32
3 3. Quarterly tax discount (multiply line 32 by 0.015) ............................................................................. 33
3 4. TAX DUE (line 32 minus line 33) ........................................................................................................ 34
3 5. Penalty and/or interest (see instructions) .......................................................................................... 35
3 6. Total amount due (add lines 34 and 35) ........................................................................................... 36
DECLARATION
I declare under the penalties for false swearing [ORS 305.990(4)] that I have examined this document and to the best of
my knowledge it is true, correct, and complete.
Signature
Date
PRINT name signed above
Title
Telephone number
(
)
Please read the instructions on page 9
150-605-004 (Rev. 12-09)

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