Form Tb-33 - Tobacco Forms Instructions

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KANSAS DEPARTMENT OF REVENUE
CUSTOMER RELATIONS – MISCELLANEOUS SEGMENT
915 SW HARRISON ST.
TOPEKA, KANSAS 66625-5000
Phone: (785) 368-8222
Fax: (785) 291-3968
TOBACCO FORMS INSTRUCTIONS
In-State Distributor Forms List
TB-43 (Schedule 1) Individual line instructions are provided on the form.
TB-42 (Schedule 2) This form lists who you purchased your smokeless and pipe tobacco from. If you purchase from
another distributor, you must provide the original manufacturer’s name.
TB-42C (Schedule 3)
This form lists who you purchased your roll-your-own tobacco products from. DO NOT
INCLUDE SMOKELESS OR PIPE TOBACCO ON THIS FORM. If you purchase from another distributor, you
must provide the original manufacturer’s name. You must provide the brand family name and a copy of one invoice
for each NPM.
TB-45 (Schedule 4) Use this form if you sell to out-of-state customers, return product to the manufacturer or sell to the
U. S. government. You must list the name and address of each business you sold to. Use a separate TB-45 for each
state.
Out-of-State Distributor Forms List
TB-42C (Schedule 3) This form lists who you purchased your roll-your-own tobacco products from. If you purchase
from another distributor, you must provide the original manufacturer’s name. You must provide the brand family
name and a copy of one invoice for each NPM.
TB-50 (Schedule 5) Individual line instructions are provided on the form.
Manufacturer Form List
TB-32 Submit this form with your remittance if you give any sample products away in the state of Kansas.
TB-33
(Rev. 3/10)

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