Form 522 - Cigarette And Tobacco Products Monthly Tax Return - State Of Alaska Page 3
Download a blank fillable Form 522 - Cigarette And Tobacco Products Monthly Tax Return - State Of Alaska 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 522 - Cigarette And Tobacco Products Monthly Tax Return - State Of Alaska 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
2
3
4
5
6
7
8522
Schedule D-1
Alaska Cigarette Tax Stamp Inventory Report
For tax stamps purchased at the current tax rate of $.10 per Cigarette
License Number
Federal ID
Name of Licensee
Physical location in Alaska from where cigarettes were shipped
Address
Name of Contact Person
City
State
ZIP + 4
Contact Telephone
This schedule must be attached to the Alaska Cigarette and Tobacco Products Monthly Tax Return, Form 522. All licensees must complete
this form for each location where cigarette tax stamps are located, both within and outside the state. Ending inventory should only include
tax stamps not affixed to cigarette packages. Use this schedule to report tax stamps purchased at the current tax rate of $.10 per cigarette
for PM cigarettes and $.1125 per cigarette for NPM cigarettes. See instructions for definitions of PM and NPM cigarettes. Use Schedule D-2
for tax stamps purchased at the prior tax rate of $.09 per cigarette for PM cigarettes and $.1025 per cigarette for NPM cigarettes.
Stamp Denomination
(a)
(b)
(c)
Cigarette Tax Stamp Inventory
20 PM cigarettes
25 PM cigarettes
20 NPM cigarettes
Number of cigarette tax stamps on hand at beginning of the month.
1
1
From line 7 of the previous month’s Schedule D-1
Number of cigarette tax stamps purchased during the month. From
2
2
Form 620, line 3
Number of cigarette tax stamps transferred in during the month.
3
3
From Form 622, Part III
Number of cigarette tax stamps transferred out during the month.
4
4
(
) (
) (
)
From Form 622, Part III
Number of cigarette tax stamps affixed to cigarette packages during
5
5
(
) (
) (
)
the month
Number of unused cigarette tax stamps returned for a refund during
6
6
(
) (
) (
)
the month. From Schedule J, Part I, Column B
Number of cigarette tax stamps on hand at end of the month. Line 1
7
7
plus lines 2 and 3 minus lines 4 through 6
8
8
$2.00
$2.50
$2.25
Value of each tax stamp unfixed to cigarette packages
9
9
Value of ending cigarette tax stamp inventory. Multiply line 7 by line 8
Schedule E
Alaska Cigarette Tax Stamp Purchase and Payment Record
Complete the following purchase and payment record for cigarette tax stamp orders you made during the month covered by this return.
Enter the date of the order in column (a), the dollar amount of total stamps ordered from line 6 of Form 620 in column (b) and the amount
of payment made at the time of purchase from line 7 of Form 620 in column (c). Do not include
(a)
(b)
(c)
payments made under a deferred payment plan in column (c). Attach a separate sheet if more
Date of
Dollar
Amount
than 5 orders were made during the month.
order
amount
paid with
ordered
order
1
From Form 620, Cigarette Tax Stamp Order Form
1
From Form 620, Cigarette Tax Stamp Order Form
2
2
3
From Form 620, Cigarette Tax Stamp Order Form
3
From Form 620, Cigarette Tax Stamp Order Form
4
4
5
From Form 620, Cigarette Tax Stamp Order Form
5
6
Carry forward from attached sheets
6
Total cigarette tax stamp purchases and payments. Add lines 1 through 6 in columns (b) and
7
(c). Enter amount in column (b) on Schedule A, line 1 and amount in column (c) on Schedule
7
A, line 4
522
0405-522 Rev 09/12 - page 3
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 04-522 - Cigarette And Tobacco Products Monthly Tax Return, Supporting Schedule Of Transactions - 2000
Financial
Form M-19 - Cigarette And Tobacco Products Monthly Tax Return Form - State Of Hawaii - Department Of Taxation
Financial
Related Categories
Parent category: Financial