Form Ct-118 - Summary Of Wisconsin Stamped Cigarettes - 2012

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CT-118: SUMMARY OF WISCONSIN STAMPED CIGARETTES
(File with Form CT-100 or CT-105)
Page
of
Read the instructions before completing this form.
Name
Tax Account Number
Month/Year (mmyyyy)
SECTION A
INVENTORY OF WISCONSIN STAMPED CIGARETTES
Number of
Line
No.
Single Cigarettes
(000)
1
Inventory of salable stock on licensed premise
2
Inventory of unsalable stock
3
Other stock in off-premise storage
4
Stock in salespersons’ motor vehicles
5
Stock on delivery or service trucks
6
Other stock not included on lines 1 through 5
7
Subtotal - add lines 1 through 6.
(Out-of-state distributors should enter this amount into the formula on line 10 of Form CT-105).
8
Cigarette stock in vending machines located on customers’ premises
8a. Number of vending machine locations
8b. Total number of vending machines
9
TOTAL WISCONSIN STAMPED CIGARETTES IN INVENTORY AT THE CLOSE OF
BUSINESS - Add lines 7 and 8.
SECTION B WISCONSIN STAMPED CIGARETTES RETURNED TO THE MANUFACTURER
Date
Control Number From
Number of
Returned
Refund Claim (Form CT-624)
Name of Manufacturer
Single Cigarettes
(000)
1
2
3
4
5
6
7
8
9
10
11
12
TOTAL - Add lines 1 through 11.
(Out-of-state permittees should enter this total into the formula on line 5 of Form CT-105).
CT-118 (R. 1-12)
Wisconsin Department of Revenue

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