Schedule A (Form Cg-5.1) - Cigarettes Received With New York Stamps Affixed printable pdf download

Schedule A (Form Cg-5.1) - Cigarettes Received With New York Stamps Affixed

CG-5.1

New York State Department of Taxation and Finance

Schedule A — Cigarettes Received with

(5/05)

New York Stamps Afﬁxed

Transaction and Transfer Tax Bureau FACCTS/Cigarette Tax

This schedule must be attached to your monthly Form CG-5, Nonresident Agent Cigarette Tax Report

Name of agent

Federal employer identiﬁcation number (FEIN)

Filed with report for the calendar

Month:

Year:

Column A

Column B

Enter number of cigarettes (sticks) in the appropriate column(s)

Other

(indicate pack size)

Name, address, and FEIN of each supplier

20 packs

25 packs

packs

Totals

.................................

(enter here and on Form CG-5, Part I, line 3)

Instructions

Who must ﬁle this schedule

Column B - Number of cigarettes received

You must ﬁle Form CG-5.1, Schedule A, if you are a nonresident

For each supplier listed in column A, enter in all applicable columns

cigarette agent who has received cigarettes with New York stamps

the number of cigarettes (sticks) in packs you received with New York

afﬁxed from your suppliers during the month covered by this report.

stamps already afﬁxed.

A copy of Schedule A must be attached to each Form CG-5,

Total the number of cigarettes (sticks) in each column and enter the

Nonresident Agent Cigarette Tax Report, that you are required to ﬁle on

result here and on line 3 of Form CG-5, Nonresident Agent Cigarette

or before the 15th day of the month following the month being reported.

Tax Report.

Tax period and taxpayer identiﬁcation

Need help?

Enter your legal name and your federal employer identiﬁcation number

Internet access:

(FEIN).

(for information, forms, and publications)

Enter the month and year of the period covered by this schedule.

Fax-on-demand forms:

1 800 748-3676

Column A - Suppliers

Enter the name, address, and federal employer identiﬁcation number

Business Tax Information Center:

1 800 972-1233

(FEIN) of each of your suppliers from whom you received cigarettes

From areas outside the U.S. and

with New York stamps already afﬁxed.

outside Canada:

(518) 485-6800

Hearing and speech impaired (telecommunications

device for the deaf (TDD) callers only):

1 800 634-2110

Schedule A (Form Cg-5.1) - Cigarettes Received With New York Stamps Affixed

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