Form Tb-50 - Schedule 5 - Out-Of-State Tobacco Products Distributors Selling Into Kansas

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KANSAS DEPARTMENT OF REVENUE
MISCELLANEOUS TAX
915 SW HARRISON ST.
TOPEKA, KANSAS 66612-1588
Web site:
Email: miscellaneous.tax@kdor.ks.gov
Phone: (785) 368-8222
Fax: (785) 291-3968
SCHEDULE 5
OUT-OF-STATE TOBACCO PRODUCTS DISTRIBUTORS SELLING INTO KANSAS
Name
License Number
Address
Filing Month/Year
Signature of Dealer
Manufacturer’s Net
Invoice Date
Invoice Number
Consignee
Address
Invoice Price
0.00
1. Total manufacturer’s net invoice price…………….………………………………………………
2. Total returns to manufacturers (Schedule 4) …………………………………………………..
0.00
3. Total taxable tobacco (Subtract line 2 from line 1) ……………………………………………
0.00
4. Tax liability (Multiply line 3 x 10%)……………………………………………………………….
0.00
5. Less: Distributor’s compensation (Multiply line 4 by 4%) ………………………………….
6. Less: Credit forward from previous month …………………………………………………...
0.00
7. Subtotal (Subtract lines 5 and 6 from line 4) ………………………………………………….
8. Penalty ……………………………………………………………………………………………….
9. Interest ……………………………………………………………………………………………….
0.00
10. Total Amount Due …………………………………………………….....................................
th
This report and full remittance are due by the 20
day of the month following the report month.
TB-50
(Rev. 6/13)

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