Form 18-10-S-10 - Schedule Of Sales To Non-Compact Federally Recognized Indian Tribes Or Nations - Tax Free Sales

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Form 18-10-S-10
Revised 10-2011
Schedule of Sales to Non-Compact Federally Recognized Indian Tribes or Nations
Tax Free Sales
Oklahoma Tax Commission – Compliance Division
2501 Lincoln Boulevard – Oklahoma City, OK 73194
Taxpayer FEIN/SSN
Reporting Period
Tobacco License Number
Reporting Number
Distributor’s Name: ______________________________
Smokeshop Name: ___________________________________
City: _________________________________________
Smokeshop Location: _________________________________
Tribe Name: ___________________________________
Smokeshop City: _____________________________________
Invoice
Factory List Price
Number of Cigars
A
B
C
D
Date
Chewing Tobacco
Little Cigars
Number
Smoking Tobacco
Class C Cigars
1. TOTALS
$
$
0%
0%
0.00
0.00
2. 2004 and Prior Tax Rate
3. 2004 and Prior Tax Due
(line 1 x line 2)
$
$
$
$
0.00
0.00
0.00
0.00
4. 2005 Tax Rate
$
$
0.00%
0.00%
0.00
0.00
5. 2005 Tax Due
(line 1 x line 4)
$
$
$
$
0.00
0.00
0.00
0.00
6. TOTAL 2004 and Prior Tax Due
$
(Add line 3 Column A, B, C and D)
0.00
7. TOTAL 2005 Tax Due
$
(Add line 5 Column A, B, C and D)
0.00
Instate Wholesalers Only: Enter line 1 Totals from each tobacco category in the appropriate line, Column E, Form TOB50002.
Enter line 6 and line 7 Totals from each tax rate category in the appropriate row on Form TOB50003.

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