Form Cg-6 - Resident Agent Cigarette Tax Report
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1
2CG-6
New York State Department of Taxation and Finance
Resident Agent Cigarette Tax Report
(3/14)
Transaction Desk Audit Bureau FACCTS/Cigarette Tax
File this report in duplicate each month on or before the 15th day of the following month. Keep a copy for your records.
Note: You must have approval from the New York State Tax Department to file for any period other than a calendar month.
If approval was granted, enter your filing period here:
Period covered by this report:
Change of business
Enter name and address if not preprinted
information -
Month:
Year:
If your name, employer
identification number, address,
Federal employer identification number (FEIN)
or owner/officer information
has changed, you must file
Form DTF-95, Business Tax
Agent’s license number
Account Update. If only
your address has changed,
you may file Form DTF-96,
NYS sales tax identification number
Report of Address Change for
Business Tax Accounts. You
can get forms from our Web
Social security number
site or by phone. See Need
help? on the back.
Enter the number of cigarettes (sticks) in the appropriate columns
Other
Part I — Report of unstamped cigarettes
(indicate pack size)
20 packs
25 packs
packs
packs
packs
1 Opening inventory .......................................
1
2 Additions to inventory
..................
2
(from Form CG-6.1, Schedule A)
3 Unstamped cigarettes (sticks) available for
sale
...............................
3
(add lines 1 and 2)
4 Ending inventory .........................................
4
5 Balance
.................
5
(subtract line 4 from line 3)
6 Sales to agencies of the United States .......
6
7 Sales/transfers outside New York State
7
...................
(from Form CG-6.2, Schedule C)
8 Sales/transfers inside New York State
8
...................
(from Form CG-6.3, Schedule D)
9 Total sales/transfers of unstamped
9
cigarettes
................
(add lines 6 through 8)
10 Cigarettes to be accounted for
........................... 10
(subtract line 9 from line 5)
Part II — Report of NYS cigarette stamps
Tax stamps for packs of 20 cigarettes
Tax stamps for packs of 21 - 25 cigarettes
(Use quantity and not face value of stamps)
state only
joint-state/city
state only
joint-state/city
11 Inventory of unaffixed stamps at
beginning of the month ....................... 11
12 Unaffixed tax stamps purchased
during the month ................................ 12
13 Total
......................... 13
(add lines 11 and 12)
14 Inventory of unaffixed stamps at end
of the month ....................................... 14
15 Stamps used this month
(subtract
................................ 15
line 14 from line 13)
16 Stamps required to be affixed to
packs of cigarettes ............................. 16
17 Difference
(subtract line 16 from line 15
....................... 17
and attach an explanation)
Part III — Report of cigarette stamps affixed to packs in inventory at end of month
(Use quantity and not face value of stamps)
Tax stamps for packs of 20 cigarettes
Tax stamps for packs of 21 - 25 cigarettes
state only
joint-state/city
state only
joint-state/city
18 Tax stamps affixed to packs of
cigarettes in inventory at end of month 18
I hereby certify that this is a true and complete report to the best of my knowledge and belief.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this claim
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this claim
Telephone number
Preparer’s NYTPRIN
Date
(see instr.)
(
)
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