Form Tb-31 - Sales Of Non-Participating Manufacturer (Npm) Roll-Your-Own (Ryo) Tobacco In Kansas By Out-Of-State Distributors Page 2

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INSTRUCTIONS FOR SCHEDULE MSA-RYO-2 (TB-31)
As part of the Master Settlement Agreement between certain cigarette
Column D: Enter the full name and address (including street, city, state
manufacturers and the State of Kansas, the Department of Revenue is
and zip code) of the supplier from whom you originally purchased the
required to compile information about cigarettes and roll-your-own (RYO)
RYO brand sold if different from the NPM identified in Column C.
tobacco sold in Kansas that is manufactured or imported by manufacturers
who do not participate in the Master Settlement Agreement (Non-
Column E: Enter the full name and address (including street, city, state
Participating Manufacturers). The Department of Revenue will provide this
and zip code) of the first importer of any RYO brand manufactured
information to the Kansas Attorney General for use in enforcing the law.
outside of the United States.
Complete this schedule and submit it on or before the 20th day of each
Completion of Schedule:
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month, along with your monthly excise tax report, if you are an out-of-state
Use supplemental schedules if necessary. You may photocopy
licensed tobacco products distributor. If you are an in-state licensed tobacco
this schedule if you require additional space.
ƒ
products distributor, please complete Schedule MSA-RYO-3a and 3b.
Sign and date the schedule declaring that the information listed
is true and correct.
ƒ
Complete this schedule as required in full, even if you had no activity
Print your name and title.
ƒ
during the filing period. If you had no activity, please check the
Enter the page number and total number of pages included in
designated box on the schedule.
the completion of this schedule.
ƒ
Retain a copy of this schedule for your files.
ƒ
Preparation of Schedule:
Include this completed schedule with your monthly excise tax
ƒ
Check the box indicating whether this is an “Original Report” or
report and mail to:
an “Amended Report.”
ƒ
Enter your full name and address (including street, city, state and
Miscellaneous Tax
zip code).
Kansas Department of Revenue
ƒ
Enter your Kansas distributor license number.
915 SW Harrison St.
ƒ
Enter the month and year covered by this report.
Topeka, Kansas 66612-1588
Column A: Enter the full brand family name of the NPM RYO product
This schedule is for reporting purposes only. It is not used for the
sold. Do not abbreviate. Do not break down into sub-categories, such as
calculation of tax.
regular, menthol, light, etc. Visit for a current list
of manufacturers and brands certified for sale in Kansas.
For assistance in completing this schedule, please contact the
Department of Revenue at 785-368-8222.
Column B: Enter the number of ounces of NPM RYO sold in Kansas
during the reporting month by brand. List only ounces of NPM RYO for
FAILURE TO FILE YOUR MONTHLY REPORT AS REQUIRED BY LAW
which you paid the Kansas excise tax.
MAY RESULT IN THE SUSPENSION OR REVOCATION OF YOUR
DISTRIBUTOR’S LICENSE FOR A PERIOD UP TO ONE YEAR AND A
Column C: Enter the full name and address (including street, city, state
MAXIMUM ADMINISTRATIVE FINE OF $1,000 FOR EACH VIOLATION.
and zip code) of the NPM who manufactured the RYO brand sold.
You may obtain additional copies of this schedule by visiting the Department of Revenue’s website at:

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