Schedule B (Form Cg-5/6-Att) - Cigarette Packages Stamped During The Month

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CG-5/6-ATT
New York State Department of Taxation and Finance
Schedule B — Cigarette Packages Stamped
(3/13)
During the Month
Transaction and Transfer Tax Bureau FACCTS/Cigarette Tax
I
II
Read instructions for Parts
and
carefully (Form CG-5/6-ATT-I).
This form must be attached to your monthly report, either Form CG-5 or CG-6.
Name of agent
Federal employer identification number (FEIN)
Filed with report for the calendar
Month:
Year:
Part I — Direct purchases
Section A — Participating manufacturers
Cigarette packs purchased directly from participating manufacturers to which you affixed New York State tax stamps this month.
Column A
Column B
Column C
Number of packs you affixed with New York State tax stamps
Manufacturer’s
Name and address of manufacturer
FEIN
Packs of 20 cigarettes
Packs of 21 - 25 cigarettes
1. Total packs listed in Part I, Section A ..............................................................................................
Section B — Non-participating manufacturers
Cigarette packs purchased directly from non-participating manufacturers to which you affixed New York State tax stamps this month.
Column A
Column B
Column C
Column D
Number of packs you affixed with New York State tax stamps
Manufacturer’s
Brand(s) of
Name and address of manufacturer
FEIN
cigarettes
Packs of 20 cigarettes
Packs of 21 - 25 cigarettes
2. Total packs listed in Part I, Section B ..............................................................................................
3. Total packs listed on attached additional Part I, Section A sheets ..................................................
4. Total packs listed on attached additional Part I, Section B sheets ..................................................
5. Total packs listed in Part II, line 9 ....................................................................................................
6. Total number of cigarette packs stamped
. These amounts must
(add lines 1 through 5)
match the total number of tax stamps required to be affixed to each pack size
as shown on Form CG-5, Part III, line 13, or Form CG-6, Part II, line 16. ......................................

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Parent category: Financial
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