Form 56 - Nebraska Tobacco Products Tax Return For Products Other Than Cigarettes

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Nebraska Tobacco Products Tax Return
Form
for Products Other than Cigarettes
56
Attach Nebraska Schedule I, Form 56, and Nebraska Schedule II, Form 56.
Nebraska ID Number
Tax Period
PLEASE DO NOT WRITE IN THIS SPACE
RESET FORM
Check this box if you have discontinued importing or manufacturing tobacco products.
NAME AND LOCATION ADDRESS
NAME AND MAILING ADDRESS
SECTION I — Tobacco Products Other Than Snuff
1 Total amount of tobacco imported products subject to tax (Nebraska Schedule I)............................... 1
2 Total amount of tobacco products exported (Nebraska Schedule I) ............. 2
3 Total amount of tobacco products sold to the U.S. government.................... 3
4 Total amount subject to tax (line 1 minus lines 2 and 3) ....................................................................... 4
5 Total tobacco products tax (line 4 multiplied by
.200 ) ................................................................... 5
SECTION II — Snuff
6 Total ounces of snuff imported subject to tax (Nebraska Schedule II, line 1) ....................................... 6
7 Total ounces of snuff exported (Nebraska Schedule II, line 2) ..................... 7
8 Total ounces of snuff sold to the U.S. government ........................................ 8
9 Total ounces of snuff subject to tax (line 6 minus lines 7 and 8) ........................................................... 9
10 Total snuff tax (line 9 multiplied by
.44 ) ........................................................................................... 10
SECTION III — Tax Computation
11 Total tax due (line 5 plus line 10) .......................................................................................................... 11
12 Collection fee (line 11 multiplied by .025; if the result is $75.00 or more, enter $75.00) ....................... 12
13 Tobacco products tax due (line 11 minus line 12) ................................................................................. 13
14 Credit (credit memorandum must be attached, refer to instructions) .................................................... 14
15 Total tobacco products tax due (line 13 minus line 14) ......................................................................... 15
16 Previous balance with applicable interest at
16
% per year and payments received through
c Check this box if your payment is being made electronically.
17 Balance due (line 15 plus line 16). Pay in full with return ..................................................................... 17
Under penalties of law, I declare that I have examined this return, including accompanying schedules, and to the best of my
knowledge and belief, it is correct and complete.
sign
(
)
(
)
here
Authorized Signature
Phone Number
Signature of Preparer Other than Taxpayer
Phone Number
Title
Date
Address
Date
Email Address
Email Address
Check revenue.ne.gov for the Directory of Certified Tobacco Product Manufacturers and Brands approved for sale in Nebraska.
800-742-7474 (NE and IA), or 402-471-5729
This return is due on or before the 10th day of the month following the tax period indicated above.
Mail this return and payment to: Nebraska Department of Revenue, PO Box 94818, Lincoln, NE 68509-4818
Retain a copy for your records.

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