Schedule D - Tobacco Products Tax - Record Of Tobacco Products (Excluding Moist Snuff) Sold, Used, Or Distributed Subject To Tax

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State of New Jersey - TPWST
Division of Taxation
Schedule D
(1/09)
Revenue Processing Center
Tobacco Products Tax
PO Box 280
Trenton, NJ 08646-0280
Record of Tobacco Products (Excluding Moist Snuff) Sold, Used, or Distributed Subject to Tax
NOTE: DO NOT INCLUDE RETAIL SALES IN WHICH TAX WAS PREVIOUSLY PAID ON THIS SCHEDULE.
Name
_____________________________________________________________
Period Ending (Month/Year) __________/__________
Address _______________________________________________________
FEIN _______________________________________
Enter the total of Schedule D on line 5 of the Tobacco Products Tax Return. Attach Schedule D to the return.
Column 1
Column 2
Column 3
Customer Name and Address
Wholesale Sales Price
Number of Ounces
Enter this amount on Line 5 of the Tobacco Products Tax Return.
Total
Make Additional Copies Of This Form If Necessary to Report The Required Information

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