Form Rpd-41188 - Non-Participating Manufacturer Brand Cigarettes Distributed Or Sold Page 3

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RPD 41188
State of New Mexico - Taxation and Revenue Department
Rev. 07/2010
Non-Participating Manufacturer Brand Cigarettes Distributed or Sold
Instructions
Page 2 of 2
to the Cigarette Tax Act.
Column C: Enter the number of qualifying NPM cigarette sticks (tax-exempt
stamps applied) distributed or sold in New Mexico during the report month.
Instructions for Completing this Form:
Include all cigarettes and “little cigars” to which you have affixed a New Mexico
tax-exempt stamp.
Enter your business name and New Mexico CRS Identification Number as
they appear on the New Mexico CRS Registration Certificate. Enter the federal
Column D: Enter the number of qualifying NPM cigarette sticks (tax-credit
employer identification number (FEIN) or social security number (SSN); if you
stamps applied) distributed or sold in New Mexico during the report month.
are a manufacturer or distributor, enter the New Mexico cigarette distributor’s or
Include all cigarettes and “little cigars” to which you have affixed a New Mexico
manufacturer’s license number, and a contact name and telephone number of
tax-credit stamp.
an individual authorized to answer questions about this report. The authorized
Column E: Enter the number of ounces of NPM roll-your-own tobacco distrib-
contact must also sign the report. Provide the information requested about
cigarettes and roll-your-own tobacco products that were made by an NPM,
uted or sold in New Mexico during the report month.
that your organization affixed a New Mexico excise tax stamp, New Mexico
Column F: If known, enter the name and address of the non-participating
tax-exempt stamp or tax-credit stamp, or otherwise paid the tobacco excise
manufacturer who produced the tobacco product.
tax, and that you distributed or sold during the report month. Important: Do not
include cigarettes that were purchased with a New Mexico excise tax stamp,
Column G: Enter the name and address of the distributor or wholesaler from
New Mexico tax-exempt stamp or tax-credit stamp already affixed.
whom you purchased the NPM product, if different from column F.
Column A: Enter the full brand family name of the qualifying NPM cigarettes
Sign the form, attach to Form RPD-41315, Cigarette Distributor’s Monthly Ciga-
distributed or sold during the report month. Do not abbreviate the brand family
rette Distributor Report, Form RPD-41311, Cigarette Manufacturer’s Monthly
name. All styles of cigarettes, such as regular, menthol, light, etc., sold under
Distribution Report, or Form RPD-41192, Tobacco Products Tax Return, and
the same trademark or brand family, must be included in the same line item.
mail on or before the 25th day following the close of the report month. Please
For example, the tobacco product “Alpha Bravo Gold Lights” should be reported
include the contact information of an individual authorized to speak for your
within the same line item as all “Alpha Bravo Gold” products.
business.
Column B: Enter the number of qualifying NPM cigarette sticks (20 stick stamps
Mail to: New Mexico Taxation and Revenue Department, Cigarette Tax
and 25 stick stamps applied) distributed or sold in New Mexico during the report
Unit, P.O. Box 25123, Santa Fe, NM 87504-5123
month. Include all cigarettes and little cigars to which you have affixed a New
Mexico excise tax stamp.

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