Form Ct-10w - Wholesale Cigarette Dealers Vt Floor Stock Tax Return - 2011

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Vermont Department of Taxes
PO Box 547
Montpelier, VT 05601-0547
Phone: (802) 828-2551
WHOLESALE CIGARETTE DEALERS
F
2011
orm
CT-10W
VT FLOOR STOCK TAX RETURN
V
ermont
DUE DATE: July 25, 2011
THIS RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
Contact Person
Telephone Number
Wholesale Dealer’s Name
Wholesale Cigarette Dealer License Number
Address
City, State, ZIP Code
Part I
INVENTORIES
Stamped Cigarette Packs in stock as of July 1, 2011
1. Packs of 20 ________________x 20 = 1. __________________
2. Packs of 25 ________________x 25 = 2. __________________
3. Total Cigarettes in Stock (Add Lines 1 and 2). . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Floor stock tax due on stamped cigarettes
If Line 3 is 10,000 or less, enter “0”.
If Line 3 is more than 10,000, multiply Line 3 by $0.019. . . . . . . . . . . . . . . . . . . . 4.
5. Number of 25-cigarette stamps not affixed to packs ____________ x 25 . . . . . . . 5.
6. Multiply Line 5 by $0.019 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
7. Total floor stock tax due (Add Lines 4 and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
8. If paid by the due date, apply discount of 2.3% to Line 7.
Otherwise, enter “0”. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8.
9. TOTAL DUE (Subtract Line 8 from Line 7).
Make checks payable to Vermont Department of Taxes . . . . . . . . . . . . . . . . . . . 9.
Part II
SIGNATURE
I certify the information contained in this report is complete and accurate to the best of my knowledge and belief. I further
certify all previously issued cigarette stamps, except 25-cigarette stamps, not affixed to cigarette packs as of 12:01 a.m.,
July 1, 2011, will be returned by July 8, 2011 to the Vermont Department of Taxes for credit.
Signature
Date
Printed Name
Title
If you have any questions, call (802) 828-2551, option 4.
Please send completed return to:
Vermont Department of Taxes
FORM CT-10W
PO Box 547
FS
(Rev. 5/11)
Montpelier, VT 05601-0547

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