Schedule D (Form Cg-6.3) - Sales, Transfers, And Returns Of Unstamped Cigarettes Within New York State
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1
2CG-6.3
New York State Department of Taxation and Finance
Schedule D — Sales, Transfers, and Returns
(3/14)
of Unstamped Cigarettes Within New York State
Transaction Desk Audit Bureau FACCTS/Cigarette Tax
Name of agent
Federal employer identification number (FEIN)
Filed with report for the calendar
Month:
Year:
Part I(A) - Sales and transfers —
include all sales and transfers of unstamped cigarettes (sticks) to persons located within New York
State except sales to the Oneida Nation of New York
Enter number of cigarettes (sticks) in the appropriate column(s)
Name, address, and FEIN of each person to whom
Other
(indicate pack size)
unstamped cigarettes were sold or transferred
20 packs
25 packs
packs
packs
packs
Part I(B) - Sales to the Oneida Nation of New York
Name, address, and FEIN of each Oneida Nation of
Enter number of cigarettes (sticks) in the appropriate column(s)
New York business to which unstamped
Other
(indicate pack size)
cigarettes were sold
20 packs
25 packs
packs
packs
packs
Total of Parts I(A) and I(B)
...
(enter here and on Part III, line 1, below)
Part II - Returns —
include all unstamped cigarettes that were returned to a manufacturer located within New York State
Enter number of cigarettes (sticks) in the appropriate column(s)
Name, address, and FEIN of each manufacturer
Other
(indicate pack size)
to which unstamped cigarettes were returned
20 packs
25 packs
packs
packs
packs
Totals
............................
(enter here and on Part III, line 2, below)
Part III - Total sales, transfers, and returns
Enter number of cigarettes (sticks) in the appropriate column(s)
Other
(indicate pack size)
20 packs
25 packs
packs
packs
packs
1 Total sales and transfers from Parts I(A) and I(B) ................
2 Total returns from Part II .....................................................
3 Totals
......
(add lines 1 and 2; enter here and on Form CG-6, Part I, line 8)
Attach a copy of this schedule to each Form CG-6.
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