Form 031900000 - Tobacco Products Tax Return Page 2

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Quantity
Product
Purchased from:
Wholesale Price
Total Sch A
Schedule B - Exports of Smoking Tobacco
Quantity
Product
Ship to: (Name, City, State)
Wholesale Price
Total Sch B
Schedule C - Smokeless Tobacco
Quantity
Product
Purchased from:
Wholesale Price
Total Sch C
Schedule D - Exports of Smokeless Tobacco
Quantity
Product
Ship to: (Name, City, State)
Wholesale Price
Total Sch D
TP-3 Revised 1/03

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