Form Cts-8 - Record Of Cigarette And Smokeless Tobacco Sales Or Disposition

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Rev. 2/13

Form CTS-8

Massachusetts

Record of Cigarette and

Department of

Smokeless Tobacco Sales or Disposition

Revenue

Name of licensee

License number

Federal Identification number

Mailing address

City/Town

State

Zip

Classification

Phone number

For month and year

c. Total

col. a × col. b

Quantity of cigarettes in package

Number of packages

Tax per package

1 For packages of 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 For packages of 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 For packages of

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 For packages of

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Total tax on cigarettes. Add col. c of lines 1 through 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

c. Total

col. a × col. b

Purchase price

Tax rate

6 Total purchase price of smokeless tobacco sold in Massachusetts . . . . . . 6

.90

7 Total purchase price of cigars and smoking tobacco sold in Massachusetts 7

.30

8 Total tax due. Pay with this return. Add col. c of lines 5 through 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Declaration

Under the penalties of perjury, I declare that the following is a true and correct statement of all sales and other disposition of

cigarettes within the Commonwealth of Massachusetts during the above-named month.

Signature

Title

Date

General Information

This return must be filed by all transportation companies and such other persons as the Commissioner may authorize to sell unstamped

cigarettes, smokeless tobacco, cigars and smoking tobacco in the Commonwealth of Massachusetts. Include with this return payment

for the tax due on or before the 20th day of the month covering the preceding month. Mail to: Massachusetts Department of Revenue,

PO Box 7004, Boston, MA 02204.