Form B-A-5 - Schedule J - Cigarettes Returned To Manufacturer Page 2

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Page 2
BA-5 Sch. J
Legal Name
NCDOR ID
Web
4-11
Complete the following table for all cigarettes returned to the manufacturer during the month. List each shipment separately using the
following codes to describe the shipping method used: DT, Distributor Truck; CC, Common/Contract Carriers; and PP, Parcel Post. If
nonparticipating manufacturing brands are returned, list each brand separately.
Part 2. Detail Summary of Packs Returned to Manufacturer
Column A
Column B
Column C
Column D
Nonparticipating
Date
Shipping
Name and Address of Manufacturer
Manufacturing
Non-Tax-Paid in Packs of:
Tax-Paid in Packs of:
Shipped
Method
Brands
Twenty
Twenty-Five
Twenty
Twenty-Five
Totals
Carry totals of Column A
Carry totals of Column C
and B to Part 1, Line 1
and D to Part 1, Line 2

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