Montana Form Tp-103 - Tobacco Product Tax Credit For Returned Products Page 2
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1
2Schedule A – Tobacco products returned to manufacturer or destroyed
For the period of ___________________________________________
Business name ____________________________________________ Phone _________________________
Manufacturer
Value of other
Weight of moist
tobacco products
snuff on memo
Date of
Credit memo
on memo
(oz)
memo
ID
(B)
(A)
Name
Address
Phone
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
$
oz
1. Total manufacturer refund credit value................................................................................................ $
oz
2. Tobacco products tax rates...................................................................................................................
0.50 (50%)
$0.85 / oz
3. Total manufacturer refund credit tobacco products tax (multiply line 1 with line 2)
Total value of column A on line 1, section 1, and column B on line 2, section 1 ............................ $
$
360
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