Form Tb-32 - Manufacture'S Sample Product Tobacco Tax Return

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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
MANUFACTURER’S SAMPLE PRODUCT
TOBACCO TAX RETURN
________________________________________,
a manufacturer, has given $_
a manufacturer, has given $_
_______________
of free samples
of free samples
(Name of Business)
(Net Wholesale Price)
away in the state of Kansas for the month and year of
_________________________.
(Month, Year)
$
Net Wholesale Price
X
10%
Tax Rate
0.00
$
Amount of Tax Due
__________________________________________
______________________________
(Signature)
(Date)
__________________________________________
______________________________
(Title)
(Phone Number)
Submit this form to:
Miscellaneous Tax
Kansas Department of Revenue
915 SW Harrison St.
Topeka, Kansas 66612-1588
TB-32
(Rev. 6/13)

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