Schedule Ct201-A - Minnesota Distributors Unstamped/other-State Stamped Cigarettes Received During The Month

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CT201-A
Attachment #2
Minnesota Distributors
Unstamped/Other-State Stamped Cigarettes Received During the Month
Read instructions on back .
Licensee
Address
Minnesota tax ID number
Period of return (mo/yr)
Page
of
A — Non-Fee Brands
B — Fee Brands
Date
rec’d
Invoice #
Manufacturer
Quantity
Quantity
Totals from previous page, if any
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19 If this is the final page, enter the total non-fee cigarettes (column A) on CT201-R, line 8A and
enter the total fee brand cigarettes (column B) on CT201-R, line 8B and on CT201-F, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Enter on CT201-R, line 8A .
Enter on CT201-R, line 8B,
and on CT201-F, line 4 .
20 If this is the final page, enter total cigarettes received during the month (add lines 19A and 19B)
Also enter this amount on CT201-R, line 8C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
(Rev . 1/12)

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Parent category: Financial
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