Formtb-34 - Purchases And Sales Of Non-Participating Manufacturer (Npm) Roll-Your-Own (Ryo)tobacco In Kansas By In-State Distributors

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KANSAS DEPARTMENT OF REVENUE
MISCELLANEOUS TAX
915 SW HARRISON ST.
TOPEKA, KANSAS 66612-1588
Web site:
Email: miscellaneous.tax@kdor.ks.gov
Phone: (785) 368-8222
Fax: (785) 291-3968
PURCHASES AND SALES OF NON-PARTICIPATING MANUFACTURER (NPM)
ROLL-YOUR-OWN (RYO) TOBACCO IN KANSAS BY IN-STATE DISTRIBUTORS
SCHEDULE MSA-RYO-3a
Check One:
Original Report
Amended Report
Business Name ____________________________________________________________
License Number ______________________________
Address __________________________________________________________________
Filing Month/Year _____________________________
STEP 1 of 2: NPM RYO PURCHASES
A
B
C
D
E
Ounces of NPM RYO
From Whom Brand was Purchased
First Importer of Foreign
Non-Participating Manufacturer
NPM RYO
Purchased or Brought
(If Different from Manufacturer)
Manufactured Brands
Brand Family Name
Full Name & Address
into Kansas
Full Name & Address
Full Name & Address
Proceed to Schedule MSA-RYO-3b
TB-34 (Rev. 6/13)

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