Monthly Report By Nonresident Wholesale Dealers In Cigarette Products - Alabama Department Of Revenue Page 3

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SCHEDULE B – Stamps Purchased During Month From Alabama Department of Revenue

INVOICE DATE

INVOICE NUMBER

STAMP VALUE

Stamps Purchased During Month:

TOTAL VALUE (Enter here and transfer to Part II, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE C – Sales to National Guard Units Located in Alabama

INVOICE

EXEMPTION

INVOICE

TO WHOM SOLD

NUMBER OF

DATE

CERTIFICATE NUMBER

NUMBER

(NAME AND ADDRESS)

CIGARETTES

TOTAL (Enter here and transfer to Part III, line 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE D – Sales to U.S. Government Located in Alabama (Military Bases and Federal Prisons)

NUMBER OF

INVOICE

TO WHOM SOLD

INVOICE NUMBER

DATE

(NAME AND ADDRESS)

CIGARETTES

TOTAL (Enter here and transfer to Part III, line 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

SCHEDULE E – Sales to Federally Recognized Indian Reservations Located in Alabama

NUMBER OF

INVOICE

TO WHOM SOLD

INVOICE NUMBER

DATE

(NAME AND ADDRESS)

CIGARETTES

TOTAL (Enter here and transfer to Part III, line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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.