Form Mt-203-W-T - Transfers And Wholesale Sales Of Tobacco Products Page 2

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Page 2 of 4 MT-203-W-T (11/10)
Schedule 2 — Transfers and wholesale sales of snuff within New York State
C
D
Name and address of business located
Snuff containers of less than one ounce
Snuff containers of one ounce or more
within New York State to whom you
EIN of customer
No. of individual
transferred and/or sold product
containers
Selling price
Ounces of snuff
Selling price
A
B
C
7 Total transfers and wholesale sales from this Schedule 2
8 Total transfers and wholesale sales from additional attached sheet(s), if any
9 Total transfers and wholesale sales
(add lines 7 and 8; enter here and on
Form MT-203-W, line 4, columns C and D)
10 Total selling price from this Schedule 2
11 Total selling price from additional attached sheet(s), if any
12 Total selling price
(add lines 10 and 11)
Schedule 3 — Transfers and wholesale sales of little cigars within New York State
E
Name and address of business located
Number of packs of little cigars
within New York State to whom you
EIN of customer
transferred and/or sold product
No. of packs
Selling price
A
B
C
13 Total transfers and wholesale sales from this Schedule 3
14 Total transfers and wholesale sales from additional attached sheet(s), if any
15 Total transfers and wholesale sales
(add lines 13 and 14; enter here and on
Form MT-203-W, line 4, column E)
16 Total selling price from this Schedule 3
17 Total selling price from additional attached sheet(s), if any
18 Total selling price
(add lines 16 and 17)

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