Form Fr-463 - Cigarette Floor Tax Return - District Of Columbia Office Of Tax & Revenue - 2008

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DISTRICT OF COLUMBIA GOVERNMENT
__
OFFICE OF TAX
&
REVENUE
Audit Division
Cigarette Tax Enforcement Unit
P.O. Box 556
Washington, DC 20044
2008 CIGARETIE
FLOOR TAX RETURN
WHOLESALER, VENDING MACHINE OPERATORS AND RETAILERS
Due Date: October 21, 2008
Name
FEIN#
D.C. Cigarette License #
City
State
Zip Code
(A)
(B)
(C)
Additional Tax
(A x B) = Tax Due on Hand
as of Oct.
1,2008
Half cases of 300 packs of 20's
$300.00 per half case
$
Full cartons of 10 packs of 20's
$10.00 per carton
$
Full cartons of 10 packs of 25's
$12.50 per carton
$
Full cartons of 8 packs of 25's
$10.00 per carton
$
Loose packs of 20's
$1.00 per pack
$
Loose packs of 25's
$1.25 per pack
$
Half cases of 240 packs of 10/25's
$300.00 per half case
$
Half cases of 240 packs of 8/25's
$300.00 per half case
$
Loose tax stamps - $1.00
$1.00 per stamp
$
Loose tax stamps - $1.25
$1.25 per stamp
$
Number of packs of 20's in Vending
$1.00 per pack
$
11b
Number of packs of 25's in Vending
$1.25 per pack
$
11c
Number of Vending Machines
$500.00 per machine
$
12
Total Tax Due
$
Under penalties of law, I declare that I have examined this return and, to the best of my
knowledge, it is correct.
Print Name
Signature
FR-463 (Rev 08/08)
Business Phone Number
Title
Date

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