Form Ct-15a - Monthly Tax Stamp And Cigarette Report Nonresident Distributor Page 2
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1
2Instructions for Filing Form CT-15A
Forms CT-15A and Schedule H, Cigarette Packages
Stamped During the Month, must be fi led with the appropriate
Visit the DRS website at to download and
forms and schedules attached.
print these forms.
Nonresident Distributor Forms and Schedules:
Click on Cigarette & Tobacco Products Taxes on the
• Form CT-19A, Schedule A, Record of Cigarettes
left side of the screen. When the Cigarette & Tobacco
Acquired in Connecticut With Stamps Already Affi xed;
Products Taxes page appears, click on Cigarette
Tax Returns and Schedules. Choose the supporting
• Form CT-27, Schedule E, Sales and Transfers of
forms and schedules you need from this page.
Connecticut-Stamped Cigarettes Into Connecticut;
• Form CT-28, Schedule F, Sales and Transfers of
If you need additional information, call the Excise
C o n n e c t i c u t - S t a m p e d C i g a r e t t e s O u t s i d e o f
Taxes Subdivision of the DRS Audit Division at
Connecticut;
860-541-3224, Monday through Friday, 8:30 a.m. to 4:30 p.m.
• Form CT-29, Schedule G, Sales and Transfers
of Unstamped Cigarettes to Other Connecticut
Mail Form CT-15A and the appropriate forms and schedules to:
Distributors;
Department of Revenue Services
PO Box 5031
• Form CT-31A, Cigarette and Unaffi xed Stamp Inventory
Hartford CT 06102-5031
Report for Nonresident Distributors; or
• Form CT-38, Record of Cigarette Stamps Purchased by
Distributors.
CT-15A Back (Rev. 07/11)
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