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Page 4

Column 1 – Invoice Date

Carry totals for each manufacturer to Schedule A on

Manufacturer’s invoice or credit voucher date. A separate line

REV-1030.

should be used for each invoice.

Column 5 – Credits

Column 2 – Invoice Number

Enter the quantity of little cigars (unstamped little cigars for

Manufacturer’s invoice or credit voucher number.

other states) returned to the manufacturer and/or unstamped

little cigars lost in transit, damaged or refused, or little cigars

Column 3 – Date Received

that were partially cancelled from manufacturer’s pre-billed

Enter the date little cigars were actually received.

invoice prior to the shipment.

Column 4 – Number of Unstamped Little Cigars

The exception is a manufacturer’s “Account Adjustment Credit

(Packs of 20 – 25)

Voucher” to offset a completely cancelled pre-billed invoice.

Enter the gross quantity of unstamped little cigars billed

by the manufacturer regardless of the quantity received or

Each credit must be supported by a monetary or account

quantity paid.

adjustment voucher from the manufacturer or a monetary

claim adjustment from the transportation company.

An exception is a manufacturer’s pre-billed invoice for an

order which was completely cancelled by the purchaser prior

If the report is due and the credit or claim has not been

to shipment.

received, enter only the quantity of little cigars. Carry total

credits from Column 5 to Section 1 of REV-1030 and enter

Maintain the completely cancelled manufacturer’s invoice for

your records.

them in their respective category on Line 10 thru 14.

SCHEDULE B

REV-1031

CIGARETTES RECEIVED (FROM OTHER THAN MANUFACTURER)

Enter the total cigarettes and/or stampable little cigars received from those other than those received from the manufacturer reported on

schedule A-1in their respective category by name, address and quantity for each. Enter totals on REV-1030 as follows:

Pennsylvania stamped – Section 3, Line 3.

Unstamped and/or bearing stamps for other states – Section 1, Line 5.

Prepare in duplicate. Submit original with the report and maintain copy.

SCHEDULE C

DAS-34

CIGARETTES SOLD TO TAX-EXEMPT AGENCIES DURING MONTH

Enter total non-tax paid cigarettes and/or stampable little cigars sold to tax-exempt agencies by name, address and quantity sold. Carry total

sales to Section 1, Line 9 of REV-1030.

Prepare in duplicate. Submit original and maintain copy.

REV-1042 (Cigarette Tax Exemption Certificate) is to be submitted for each individual sale recorded on Schedule C.

SCHEDULE D

REV-1033

CIGARETTES SOLD OUTSIDE PA

Enter the state, total number of invoiced cigarette sales and total number of cigarettes (sticks bearing tax stamps for other states) sold

outside Pennsylvania or to Pennsylvania wholesalers for resale outside Pennsylvania. Carry total sales to Section 1, Line 8 of REV-1030.

Submit original and maintain copy.

SCHEDULE D

REV-1033 - A

LITTLE CIGARS SOLD OUTSIDE PA

Use this schedule to report stampable little cigars only. Little cigars packed similar to a package of cigarettes containing 20-25 sticks in a pack

are defined as stampable little cigars.

Enter the state, total number of invoiced little cigar sales and total number of little cigars (sticks) sold outside Pennsylvania or to Pennsylvania

wholesalers for resale outside Pennsylvania. Carry total sales to Section 1, Line 8 of REV-1030.

Submit original and maintain copy.

REV-1042, Cigarette Tax Exemption Certificate must be retained for four years. In lieu of paying the tax on stampable little cigars sold out of

state, the seller must obtain a properly completed Exemption Certificate from the purchaser.

Instructions For Form Das-29 - Resident Stamp Affixing Agency Monthly Report Of Cigarettes And Cigarette Tax Stamps Page 4

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