Form 031900000 - Tobacco Products Tax Return
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1
2Tob
Maine Revenue Services
031900000
Tobacco Products Tax Return
Registration No.
Period Begin
Period End
Due Date
1. Entity Information
Use this area only to report changes in your business
2.
OUT OF BUSINESS?
Check here
, return permit to Bureau and
complete information at right. Date closed
3.
OWNERSHIP CHANGE?
If you have changed ownership, indicate the date
when this occurred here
and check off type of change below:
Incorporated
Partner added or dropped
Other (explain on reverse)
Sold to
ADDRESS CHANGE?: If your address above is incorrect, please
4.
NAME CHANGE?
Attach explanation to this return.
make the appropriate changes to the preprinted address.
Do Not Use Red Ink!
Total Wholesale Price from
1.
,
,
.
Sch A
Smoking
Less: Exports from Sch B
2.
,
,
.
Tobacco
Taxable Smoking Tobacco
3.
,
,
.
Tax @ 16%
3A.
,
,
.
Total Wholesale Price from
4.
,
,
.
Sch C
Smokeless
Less: Exports from Sch D
5.
,
,
.
Tobacco
Taxable Smokeless Tobacco
6.
,
,
.
Tax @ 62%
6A.
,
,
.
Total Due
Total Tax
Add lines 3A and 6A.
7.
,
,
.
Credits
Credit Carry Forward From Prior Period
8.
,
,
.
Amount
Due
Line 7 less line 8. Use line 10 if the result is a credit amount.
9.
,
,
.
Credit
If Line 7 less line 8 is a credit amount, enter the amount to the right. If you wish a refund
Due
rather than a carry forward to the next period, check here
10
,
,
.
Mail To:
Maine Revenue Service
P.O. Box 1064
Augusta, ME 04332-1064
Signature
Title
Date
Phone #
TP-3 Revised 1/03
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