Montana Form Tp-101 - Other Tobacco Products And Moist Snuff Tax Return
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4MONTANA
TP-101
Rev. 06-07
Other Tobacco Products and Moist Snuff Tax Return
Return and Instructions
Name ________________________________________________
Date ___________________
Address ______________________________________________
Address ______________________________________________
City, ST Zip ___________________________________________
1. FEIN:
2. Account ID:
3. Period Ending: ______________________________
4. If this is an amended return, check here.
Due: ______________________________________
6. If your address has changed, check this box
and
print your new address below:
5. If you are no longer in business and want your
_________________________________________
account cancelled, check this box
and enter your
fi nal date of operations here. ___________________
_________________________________________
7. Tobacco Products License No:
Section 1: Calculation of Tax Due Complete Sections 2 and 3 before continuing with Section 1.
8. Enter your total wholesale price of other tobacco products sold in Montana during the
month from Section 2, Column D, line 18 .................................................................... 8. $
9. Enter, in ounces, the total weight of “roll-your-own” tobacco products that are included
in line 8 above ............................................................................................................. 9.
oz
10. Multiply the amount on line 8 by 0.50 (50%) and enter the results here. This is your
other tobacco products tax ........................................................................................ 10. $
11. Enter, in ounces, the net weight of moist snuff you sold in Montana during the month
from Section 2, Column E, line 18 ............................................................................. 11.
oz
12. Multiply the amount on line 11 by 0.85 ($0.85) and enter the result here. This is your
moist snuff tax ........................................................................................................... 12. $
13. Add the amounts on lines 10 and 12 and enter the result here. This is your total
other tobacco products and moist snuff tax before your collection and administrative
allowance................................................................................................................... 13. $
14. Multiply the amount on line 13 by 0.015 (1.5%) and enter the result here. This is your
collection and administrative expense allowance ...................................................... 14. $
15. Subtract line 14 from line 13 and enter the result here. This is your total other tobacco
products and moist snuff tax ...................................................................................... 15. $
16. Enter your total other tobacco products and moist snuff tax credit from Section 3, line
24............................................................................................................................... 16. $
17. Subtract line 16 from line 15 and enter the result here. This is your total other tobacco
products and moist snuff tax due after allowable credits ........................................... 17. $
I hereby swear or affi rm under penalty of perjury that the statements contained herein are true to the best of my knowledge.
Signature ___________________________________
Title _________________________________ Phone ________________ Date _______________
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