Arizona Form 800nr - Cigarette Distributor'S Monthly Report For Nonresident Licensed Distributors Page 5
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5AZ Form 800NR Page 6 of 6
Instructions
“Non-participating manufacturer” (NPM) means any tobacco
Column H: Enter number of green stamped 20s sold.
product manufacturer who is not a Participating Manufacturer
Column I: Enter number of green stamped 25s sold.
(signatory) to the tobacco Master Settlement Agreement
dated November 29, 1998, referred to in A.R.S.
Total by Reservation: Enter total of each column.
§44-7101(A). A list of participating Manufacturers and their
Balance forwarded from other reservations: Enter the totals of
brands is maintained and updated at the National Association
each attached Schedule 800NR-C.
of Attorneys General (NAAG) web site,
Grand total of all reservations.
“State excise taxes” means taxes imposed on tobacco products
under A.R.S. Title 42, Chapter 3.
Instructions
Column (a): Enter the name and address of the non-partici-
pating manufacturer of the brand of NPM cigarettes reported
in Column (d).
Column (b): Enter the name and address of the person from
whom the brand was purchased if different from the person
identifi ed in Column (a).
Column (c): Enter the name and address of the fi rst importer
of the brand (if known).
Column (d): Enter the complete brand name of the NPM
cigarettes sold in Arizona (do not abbreviate). Do not break the
brand down into subcategories such as regular, menthol, light,
etc. For example, for a cigarette named “Alpha Bravo Gold
Menthol Lights”, report only “Alpha Bravo Gold”. Do not report
as “A B Gold” or “A B Gold Menthol Lights.”
Column (e): Enter the date and invoice number of the
invoice pursuant to which you sold the cigarettes identifi ed in
Column (d).
Column (f): Enter the number of individual NPM cigarettes or
packages of cigarettes, excluding roll-your-own, sold monthly
in Arizona bearing the excise tax stamp of this State (i.e., on
which you have paid state excise taxes).
Certifi cation of No NPM Activity: If you have not sold
any non-participating manufacturer’s cigarettes or roll-your-own
tobacco in Arizona during the applicable period, execute the
form, Non-Resident Distributor’s Certifi cation of No Non-Par-
ticipating Manufacturer’s Activity (In Lieu of Non-Participating
Manufacturer’s Schedules).
SPECIAL INSTRUCTIONS FOR
SCHEDULE 800NR-C:
Complete a separate Schedule 800NR-C for each reservation.
List all sales to authorized Indian retailers. Each transaction
must include the following:
Column A: Enter the registration number and name of the
retailer.
Column B: Enter invoice date.
Column C: Enter invoice number.
Column D: Enter number of blue stamped 20s sold. (For
information only to be included in Section A, line 4.)
Column E: Enter number of blue stamped 25s sold (For
information only to be included in Section A, line 4.)
Column F: Enter number of red stamped 20s sold.
Column G: Enter number of red stamped 25s sold.
ADOR 14-2013 (11/02)
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