Form Cg-30.1 - Information Regarding Brands Sold In New York State

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CG-30.1
New York State Department of Taxation and Finance
Information Regarding Brands Sold in
(2/10)
New York State
Attachment to Form CG-30
Legal name of manufacturer
Date
Federal employer identification number (EIN)
As required by New York State (NYS) Tax Law sections 480-b and 480-c, every tobacco product manufacturer must list each of its cigarette
brands (including roll-your-own (RYO) tobacco) sold for consumption in NYS from January 1 of the prior calendar year until the date of this
annual certification. In addition you must list any new brand(s) of cigarettes and RYO tobacco which you intend to sell for consumption for the
period covered by this certification prior to the first sale in NYS (see Form CG-30-I, Instructions for Forms CG-30, CG-30.1, and CG-30.2).
Forms CG-30, Certification of Tobacco Master Settlement Agreement Status, and CG-30.1 must be given to an agent or distributor before the agent
may affix NYS cigarette tax stamps to that manufacturer’s cigarettes or before a distributor may sell that manufacturer’s RYO tobacco in NYS.
Following is a list of brands sold for consumption in NYS by the above manufacturer
for the period January 1, 20
through
, 20
Tobacco product manufacturers who first introduce their products for sale in NYS must list the cigarette and RYO tobacco brands they intend
to sell before making the first sale of these brands in NYS.
Following is a list of brands to be sold for consumption in NYS by the above manufacturer
effective
,
.
(month)
(day)
(year)
Page
of
Complete brand name(s)*
RYO New
Complete brand name(s)*
RYO New
*
Be sure the complete brand name(s) of the cigarettes or RYO tobacco is listed, including the following
:
(attach additional sheets if necessary)
• filtered or unfiltered
• if brand name is an RYO, mark an X in the RYO box
• descriptive information (such as menthol or slim)
• if brand name is a new brand of cigarettes not included on your prior
• size (such as regular, king, 100’s, etc.)
certification, mark an X in the New box
• other information as necessary to identify the product

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