Instructions For Form Rev-1036 - Nonresident Stamp Affixing Agency Monthly Report Of Cigarettes And Cigarette Tax Stamps Page 2

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16.
RETURNED TO DEPARTMENT OR RESTAMPED
19c. TOTAL PA TAX STAMPS USED
Enter total of tax stamps returned to the department.
Enter the total number of Pennsylvania stamps used on cig-
Subject to prior approval from the department.
arettes and/or stamapable little cigars during the reporting
month. Subtract Line 18 from Line 15.
17.
CLOSING INVENTORY
20.
CONVERT TO STICKS
Enter total cigarette tax stamps in inventory at the end of the
reporting month.
The pre-printed numbers are the equivalent in sticks to each
tax stamp used.
18.
TOTAL
21.
NUMBER OF STICKS STAMPED
Enter total of Lines 16 and 17.
Enter number of cigarettes and/or stampable little cigars
stamped by multiplying Line 19 by Line 20 (carry number of
19a. PA TAX STAMPS USED FOR CIGARETTES
cigarettes and/or stampable little cigars stamped from
Enter the total number of Pennsylvania stamps used on cig-
Line 2).
arettes during the reporting month.
19b. PA TAX STAMPS USED FOR LITTLE CIGARS
Enter the total number of Pennsylvania stamps used on little
cigars during the reporting month.
SCHEDULE A, REVERSE SIDE OF REPORT REV-1036 PA STAMPED CIGARETTES RECEIVED
Use this schedule to report PA stamped cigarettes and/or stam-
Column 4 – Total
pable little cigars received during the reporting month.
Enter the gross quantity of cigarettes and/or little cigars billed for
regardless of the quantity received or quantity paid. Carry Total to
Line 3 of REV-1030.
Column 1 – Date
Invoice or credit voucher date. A separate line should be used for
each invoice.
An exception is a pre-billed invoice for an order which was com-
pletely cancelled by the purchaser prior to shipment. Maintain the
completely cancelled invoice for your records.
Column 2 – Invoice Number
Invoice or credit voucher number.
Column 3 – Name and Address of Licensee
Enter the name and address of who you received the PA stamped-
cigarettes and/or little cigars from.
SCHEDULE C DAS-34 CIGARETTES SOLD TO TAX EXEMPT AGENCIES DURING MONTH
Enter the total non-tax paid cigarettes and/or little cigars sold to
Prepare in duplicate. Submit original and maintain copy.
PA tax-exempt agencies during the reporting month. Carry total to
Line 7 of REV-1036.
SCHEDULE D REV-1032 CIGARETTES SOLD INTO PA
Enter the information in Columns 1 through 9 for cigarettes sold
Prepare in duplicate. Submit original and maintain copy.
into Pennsylvania. Carry total sticks to Line 8 of REV-1036.
SCHEDULE D REV-1032-A LITTLE CIGARS SOLD INTO PA
Use this schedule to report stampable little cigars only. Little cigars
Enter the information in Columns 1 through 9 for little cigars sold
packed similar to a package of cigarettes containing 20-25 sticks
into Pennsylvania. Carry total sticks to Line 8 of REV-1036.
in a pack are defined as stampable little cigars.
Prepare in duplicate. Submit original and maintain copy.

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