Form 69-135 - Texas Distributor Report Of Interstate Sales Of Cigars And Tobacco Products

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69-135
PRINT FORM
CLEAR FIELDS
(9-09)
b.
TEXAS DISTRIBUTOR REPORT OF INTERSTATE SALES OF
CIGARS AND TOBACCO PRODUCTS – EFFECTIVE 9/1/2009
(Attach this form to your Texas Distributor Monthly Report of Cigar and Tobacco Products, Form 69-133, for the same fi ling period.)
a. Taxpayer number
c. Filing period
Month ending_______________________________
d. Taxpayer name
e. Physical address of permitted location (Street)
City
State
ZIP Code
f.
STATE OF SALE(S):
PRODUCT
CIGAR QUANTITY OR
PURCHASER’S NAME AND ADDRESS
INVOICE DATE
INVOICE NUMBER
CLASS
TOBACCO PRODUCT TOTALS
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Parent category: Financial
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