Form Pa-2 - State Tobacco P.a.c.t. Act Report (Page 2 of 2) in pdf

General Information

Step-by-Step Instructions

What does the P.A.C.T. Act refer to?

Step 1: Identify your business

The Prevent All Cigarette Trafficking Act of 2009 is commonly

License number – write the license number or other identifi-

referred to as the PACT Act. Senate Bill 1147 was signed and

cation number issued to you by the state you are shipping into.

became public law 111-154.

Leave the line blank if the state you are shipping into does not

issue a specific license.

It is the purpose of this Act to:

• require Internet and other remote sellers of cigarettes

Step 2: Identify your sales

and smokeless tobacco to comply with the same laws

Type – write the number for each type of tobacco product you

that apply to law-abiding tobacco retailers;

are reporting:

• create strong disincentives to illegal smuggling of

Snuff = 1

Cigars = 4

tobacco products;

Chew = 2

Roll your own tobacco = 5

• provide government enforcement officials with more

Pipe tobacco = 3

Other = 6

effective enforcement tools to combat tobacco

smuggling;

UPC – write the UPC for each product brand.

• make it more difficult for cigarette and smokeless

FEIN or License # – write the Federal Employers Identifica-

tobacco traffickers to engage in and profit from their

tion number (or Federal Identification number FTIN). If the

illegal activities;

buyer does not have either of these numbers, write the buyer's

• increase collections of Federal, State, and local excise

state tobacco license number. If you are making a delivery

taxes on cigarettes and smokeless tobacco; and,

sale to a consumer, leave this line blank.

• prevent and reduce youth access to inexpensive

Deliverer name, address and phone – Complete only for

cigarettes and smokeless tobacco through illegal

delivery sales and provide the information of the person who

Internet or contraband sales.

delivered the smokeless tobacco for you.

Who must file this report

You must file this report if you advertise, offer for sale, sell,

transfer, or ship (for profit) smokeless tobacco in interstate

commerce. This smokeless tobacco must be shipped into an-

other state, locality, or Indian nation that taxes the sale or use

of smokeless tobacco.

When do I file?

The report is due no later than the 10

day of each calendar

month for the previous calendar month's shipments.

Where do I send the report?

A separate report should be sent to the tobacco tax adminis-

trator of each state into which shipments are made.

Mail to:

Illinois Department of Revenue

P.O. Box 19018

Springfield IL 62794-9018

PA-2 (N-11/10)

Form Pa-2 - State Tobacco P.a.c.t. Act Report Page 2

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