Schedule Cts-1c - Stamped Cigarettes Sold In Massachusetts

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Rev. 6/12
Schedule CTS-1C
Massachusetts
Stamped Cigarettes
Department of
Sold in Massachusetts
Revenue
Include all sales of stamped cigarettes into Massachusetts.
License number
For month of
Year
Name of licensee
Mailing address
City/Town
State
Zip
State cigarettes transferred to
To whom sold
Number of cigarettes
Date
Invoice
a. 20s
b. 25s
c. Miscellaneous
transferred
number
Name
Address
Stamped
Stamped
Unstamped
Enter amounts at top of next page
500 9/97 GC96R02
printed on recycled paper

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Parent category: Financial
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