Form 4856 - Monthly Pact Act Report - Tobacco Sales Report Page 2
Download a blank fillable Form 4856 - Monthly Pact Act Report - Tobacco Sales Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 4856 - Monthly Pact Act Report - Tobacco Sales Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
24856, Page 2
Invoice Number from Page 1
FEIN from Page 1
Reporting Period from Page 1
PART 3: ceRTIfIcATIon
Under penalty of perjury, I verify I examined this report, and, to the best of my knowledge, it is true, correct and complete. I also verify such information
is taken from the books and records of the business for which this return is filed.
Signature of Owner/Officer
Phone Number
Title
Date
Signature of Owner/Officer
Phone Number
Title
Date
InSTRucTIonS foR foRM 4856,
Monthly Pact Act Report — Tobacco Sales Report
If you are a person who sells, transfers or ships roll-your-own tobacco or smokeless tobacco into the state of Michigan,
you are required by Federal Law to files this report (Form 4856) with the state of Michigan. For additional information,
see the Prevent All Cigarette Trafficking (PACT) Act at 15 USC 376. Note that cigarette sales must be reported on Form
4855.
Complete this report to show each invoice reflecting a sale of roll-your-own tobacco or smokeless tobacco into Michigan
and every brand and quantity of roll-your-own tobacco or smokeless tobacco listed on each of those invoices.
This report is due by the 10th day of the month following the month in which the tobacco products were shipped. Mail the
completed report to:
Tobacco Tax Unit
Michigan Department of Treasury
P.O. Box 30474
Lansing, MI 48909
It is important to note that other requirements of Michigan law may apply to persons wishing to sell cigarettes or other
tobacco products in, or into, Michigan. These requirements may include, but are not limited to, licensing and stamping of
tobacco products. Note, too, that Michigan imposes serious penalties on those who violate these laws. If you have any
questions about your responsibilities, contact the Tobacco Tax Unit at (517) 636-4630.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial