Form Rpd-41183 - Cigarette Sales (Tax-Paid) In New Mexico Counties And Municipalities Page 2

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STATE OF NEW MEXICO
RPD-41183
Rev. 07/2010
TAXATION AND REVENUE DEPARTMENT
Cigarette Sales in New Mexico Counties & Municipalities - Instructions
WHO MUST REPORT:
Distributors who sell stamped cigarettes to a retail only business located in New Mexico, or who sell cigarettes at retail in
New Mexico, must submit Form RPD-41183, Cigarette Sales in New Mexico Counties and Municipalities, for each calendar
month. If during the report month, you did not make any retail sales or sales to a retail only establishment, enter "NONE" for
the "Total Cigarettes Sticks Sold". Each distributor, or facility owned by the distributor, must file a separate report.
DUE DATE OF REPORT:
Form RPD-41183, Cigarette Sales in New Mexico Counties and Municipalities, must be filed with the Taxation and Revenue
Department by the 25th day of the month following the close of the report period. A report period is a calendar month. Attach
the report to Form RPD-41315, Cigarette Distributor's Monthly Report, and mail to:
New Mexico Taxation and Revenue Department
Cigarette Tax Unit
P.O. Box 25123
Santa Fe, NM 87504-5123
For assistance, please call (505) 827-6842.
INSTRUCTIONS FOR COMPLETING THE REPORT:
Complete all information requested. Each facility must enter the federal employer identification number (FEIN) or social secu-
rity number (SSN), CRS identification number, the New Mexico distributor's license number and the name of the distributor.
Indicate the report period by entering the month and year. The count of cigarette sticks is required for each location in which
the taxed cigarettes were sold.
In the "sticks of cigarettes" column, after each New Mexico county or municipality in which stamped cigarettes were sold or
distributed to a retail only establishment, enter the number of cigarette sticks shipped to that location. Also enter the number
of cigarette sticks sold for each New Mexico county or municipality in which you sold stamped cigarettes at retail. Do not
include sales of stamped cigarettes shipped to other distributors for resale in New Mexico.
At the bottom of the report, enter the "Total Cigarette Sticks Sold". Sign and date the report.
Mail to:
State of New Mexico
Taxation and Revenue Department
P.O. Box 25123
Santa Fe, NM 87504-5123

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