Form Otp-5 - Other Tobacco Products Schedule C

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Excise Tax Form
OTP-5 (7/01)
Excise and Motor Fuel Tax Division
P.O. Box 530 l Columbus, OH 43216-0530
Other Tobacco Products Schedule C
(Use additional pages if necessary)
Account No.
Name of Reporting Wholesale Dealer
Other Tobacco Products Returned to the Manufacturer
For the Month of ____________________
Page _____ of _____
Returned
Credit Memo
Product
Wholesale
Date
Number
Quantity
Description
Manufacturer
Cost
Page Total
Grand Total

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Related Categories

Parent category: Financial
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