Form Sd Rev Spt 304 - Out-Of-State Cigarette Distributors' Monthly Report

ADVERTISEMENT

Out-of-State Cigarette Distributors’ Monthly Report
Mail to: South Dakota Department of Revenue & Regulation, Special Tax Division, 445 E Capitol Ave, Pierre, South Dakota 57501-3100
(605) 773-3311
Name __________________________________________License No. _____________________________
Address ________________________________________ County _________________________________
City or Town ____________________________________ State ___________________________________
Month Ending _______________________ , 20_________ Phone No. _______________________________
This report must be filed with the Department of Revenue & Regulation, Pierre, South Dakota, by the 15th day of the month following
the period for which this report is filed.
RECORD OF STAMPS PURCHASED AND USED
1. Inventory of stamps at beginning of month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ _______________
2. Affixed @ $0.53 . . . . . . . . . . . . . . . . . . . . No_________ . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
3. Affixed @ $0.67. . . . . . . . . . . . . . . . . . . . .No_________. . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
4. Unaffixed stamps @ $0.53 (20/pkg) . . . . . No_________. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
5. Unaffixed stamps @ $0.67 (25/pkg). . . . . . No_________. . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
6. Stamps purchased @ $0.53 during month . .No.________ . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
7. Stamps purchased @ $0.67 during month . .No.________ . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
8. Total value of stamps (lines 1, 6 and 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
9. Inventory of stamps at END of month . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$ _______________
10. Affixed @ $0.53 (20/pkg) . . . . . . . . . . . No.__________. . . .. . . . . . . . . . . . . . . . . . . . . . . $ _______________
11. Affixed @ $0.67 (25/pkg) . . . . . . . . . . . No.__________. . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
12. Unaffixed stamps @ $0.53 (20/pkg) . . . .No.__________. . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
13. Unaffixed stamps @ $0.67 (25/pkg) . . . .No.__________ . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
14. Total value of inventory (lines 10, 11, 12 and 13). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
15. Balance to be accounted for (line 8 less line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
16. Total cigarettes sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
17. Tax on cigarettes sold (as shown on line 16) at rate of 26.5 mills per cigarette (line 16 x 0.0265)$ _______________
18. Short or over (difference between lines 15 and 17). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ _______________
I hereby certify that, to the best of my knowledge and belief, the within and foregoing report is true, correct and complete
and that no cigarettes have been sold or disposed of, nor stamped, contrary to the provisions of SDCL 1967 10-50.
Dated this _______day of ______________ , 20________
__________________________________
Signature of Manager or Official
SD REV SPT 304 (3-03)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Sd Eform 1776 - Out-of-state Cigarette Distributors' Monthly Report - South Dakota Department Of Revenue Sd Eform 1776 - Out-of-state Cigarette Distributors' Monthly Report - South Dakota Department Of Revenue Legal
Form Sd Rev Spt 303 - In-state Cigarette Distributors' Monthly Report 2003 Form Sd Rev Spt 303 - In-state Cigarette Distributors' Monthly Report 2003 Financial
Sd Eform 0893 - In-state Cigarette Distributors' Monthly Report - South Dakota Department Of Revenue 2003 Sd Eform 0893 - In-state Cigarette Distributors' Monthly Report - South Dakota Department Of Revenue 2003 Legal
Form 150-105-057 - Out-of-state Cigarette Distributor Quarterly Reconciliation Report - Oregon Department Of Revenue - 2001 Form 150-105-057 - Out-of-state Cigarette Distributor Quarterly Reconciliation Report - Oregon Department Of Revenue - 2001 Financial
Form 511 - Out-of-state Cigarette Distributor Quarterly Reconciliation Report - 2002 Form 511 - Out-of-state Cigarette Distributor Quarterly Reconciliation Report - 2002 Financial
Form 511 - Out-of-state Cigarette Distributor Quarterly Reconciliation Reports - 2012 Form 511 - Out-of-state Cigarette Distributor Quarterly Reconciliation Reports - 2012 Financial
Form Rc-6-a-w - Out-of-state Cigarette Revenue Return Worksheet 2010 Form Rc-6-a-w - Out-of-state Cigarette Revenue Return Worksheet 2010 Financial
Form Rc-10 - Schedule Cd - Out-of-state Cigarette Sales Or Shipments With Instructions (1998) Form Rc-10 - Schedule Cd - Out-of-state Cigarette Sales Or Shipments With Instructions (1998) Financial
Form Rc-10 - Schedule Cd - Out-of-state Cigarette And Little Cigar Sales Or Shipments Form Rc-10 - Schedule Cd - Out-of-state Cigarette And Little Cigar Sales Or Shipments Financial
Form Rc-6-a-w - Out-of-state Cigarette And Little Cigar Revenue Return Worksheet Form Rc-6-a-w - Out-of-state Cigarette And Little Cigar Revenue Return Worksheet Financial

Related Categories

Parent category: Financial
Download
Go