Form Tb-403 - Request For Tobacco Product Destruction

ADVERTISEMENT

IDAHO STATE TAX COMMISSION
TB-403
TAX DISCOVERY BUREAU
EFO00125
P.O. Box 36
Boise, Idaho 83722-0036
12-08-11
REQUEST FOR TOBACCO PRODUCT DESTRUCTION
Name of Business
Employer I.D. No.
Address
Permit Number
Phone Number
City, State, Zip
The unusable product is located in the warehouse of
Distributor
at _________________________________________ ,
___________________________________________________.
Street Address
City, County
The unusable products will be destroyed on ______________________ at ____________ AM/PM. The total wholesale sales
Date
Time
price of these products is $ ________________ . We will take a deduction in this amount on our next monthly tax return.
REASON FOR DESTRUCTION
You must attach a credit memorandum from the manufacturer or other documents that establish the wholesale sales price.
METHOD OF DESTRUCTION OF TOBACCO PRODUCTS
Under penalties of perjury, I certify that the above amount is true and correct and that the products have become unusable and will be
destroyed on the date and time shown above. I understand that I must have an approved copy of this certificate in my possession before
destroying the product(s) identified on this application. I further understand that a representative from the Idaho State Tax Commission
may be present to witness the destruction.
Authorized Signature
Title
Date
Complete the upper portion of this application. Keep one copy. Mail the original and one copy to the Tax Commission 10 days before the
proposed destruction date. Don't destroy the products until you receive the approved original from the Tax Commission.
Attach a copy of the approved original form to the tax report for the month in which the tobacco products were destroyed.
FOR STATE USE ONLY
Approved by
Title
Date
Approved but not witnessed, allowed by Rule 35.01.10.024
Title
Date

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go