Schedule G (Form Otp 13) - Other Tobacco Products
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2OTP 13
Rev. 4/09
Reset Form
P.O. Box 530
Columbus, OH 43216-0530
Other Tobacco Products Schedule G
(Use additional pages if necessary)
Account number
Name of reporting in-state licensed distributor
Sales of Tax-Paid Other Tobacco Products to Other Ohio Licensed Distributors
For the period of
Page
of
Invoice
Invoice
Consent
Purchaser’s Name/
Wholesale
Number
Date
Number
Account Number
Cost
Page total
Grand total
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Parent category: Financial