Form Tt-101m Schedule - Wisconsin Moist Snuff Tax Multiple Page 2
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1
2TT‑101M: Wisconsin Moist Snuff Tax Multiple Schedule
Page
of
Attach this schedule to Form TT-100
Legal Name
Tax Account Number
Month/Year (MM YYYY)
Type of schedule (check one)
1. Untaxed Purchases
3. Untaxed Credits
5. Untaxed Sales
2. Tax-Paid Purchases
4. Tax-Paid Credits
6. Tax-Paid Sales
Invoice
Purchased From or Sold To
Line
Manufacturer’s
List Price
No.
Date
Number
Name
State
1
Balance brought forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Page Totals – provide a grand total on the last page of each schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
- 2 -
TT-101M (R. 10-13)
Wisconsin Department of Revenue
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