Monthly Report By Nonresident Wholesale Dealers In Cigarette Products - Alabama Department Of Revenue Page 2

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SCHEDULE A – Sales and Transfers of Stamped Cigarettes in Alabama (Less Credit Returns)

This page must be completed by nonresident wholesalers selling or transferring stamped cigarettes into Alabama.

INVOICE

TO WHOM SOLD OR TRANSFERRED

NUMBER OF

COUNTY

DATE

NUMBER

(NAME AND ADDRESS)

CIGARETTES

TOTAL (Enter here and transfer to Part I, line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If additional space is needed, attach additional sheets with identical headings. A computer printout with identical headings is acceptable; however, totals

should be entered on this page.