Form L-922 - Monthly Tobacco Tax Return
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3L-922
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 8/30/02)
MONTHLY TOBACCO TAX RETURN
4064
EFT
Due on or before the 20th day of each month
DLN
DLN
Account Number
FEI Number
SID Number
Period Covered
If no preaddressed label attached, fill in name, address and FEI number.
Tobacco Products
RECORD IN PACKS
SCHEDULE A
(record in dollars)
(C)
(A) 20
(B) 25
1. Beginning inventory
2. Total receipts (purchases) during month (Sch B, line G)
3. Total available for distribution (add line 1 & line 2)
4. Total South Carolina tax exempt (Sch C, line E)
5. Ending inventory
6. Total tax exempt plus ending inventory (line 4 plus line 5)
7. Taxable distributions (Sales method, subtract line 6 from line 3)
8. Net total receipts from manufacturer (Receipt method, subtract
line 4 from line 2)
9. Imposition rate
.07
.0875
.05
10. Taxable (Sales, line 7 times line 9) (Receipt, line 8 times line 9)
11. Other than packs of 20 or 25 taxed at .0035 per cigarette
12. Total tax due (add columns A and B + line 11)
13. Less 3.5% Discount for Prompt Pay
14. Total tax due: columns A and B (line 12 minus 13)
14-1401
14-1408
column C (line 10 minus 13)
15. Add: Penalty
16. Add: Interest
17. AMOUNT DUE WITH THIS REPORT
(Add all amounts on lines 14, 15, and 16.)
I hereby certify that the information contained in this report (including accompanying schedules and
statements) has been examined by me and to the best of my knowledge is correct and complete.
Signature
Title
Date
Make checks payable to: South Carolina Department of Revenue
Mail to: SC Department of Revenue, Tobacco Tax, Columbia SC 29214-0138
Telephone:
(803) 898-5743
Page 1
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