Form 531 - Oregon Quarterly Tax Return For Tobacco Products - 2012

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2012
REVENUE USE ONLY
Form
Date Received
OREGON QUARTERLY TAX RETURN
531
FOR TOBACCO PRODUCTS
Payment Received
(Other than Licensed Distributor)
Quarter dates
Due date
Social Security no.
Business ID no.
Program
Year
Period
Liability
531
12
1
/
/
-
-
Federal Identification No.
Quarter
-
Name: ____________________________________________________________________
Check if address, name change,
or entity change
Mailing address: ___________________________________________________________
Check if this is an amended
return
City: _______________________________________ State: ____ ZIP: ______________
Check if correspondence is
included
Please use blue or black ink when filling out this form.
, not like this: (
) . NO COMMAS!
Print numbers like this:
, not like this:
. Enter negative numbers like this: –
You are a(n):
Individual
Partnership
Corporation
Other: ____________________________________________
SECTION 1—All Tobacco Products Tax (excluding moist snuff, chewing tobacco, and cigars)
1. Wholesale price of untaxed tobacco products (Schedule 1A) ...................................................................1
2. Tobacco products tax (multiply line 1 by 0.65) .................................................................................... 2
SECTION 2—Moist Snuff (Definition A) Tax on Units at or Below Floor
3. Total number of units (1.2 oz or less) of untaxed moist snuff (definition A) at or below floor (Schedule 2A) .... 3
4. Moist snuff (definition A) tax on units at or below floor (multiply line 3 by $2.14) ............................... 4
SECTION 3—Moist Snuff (Definition A) Tax on Units Above Floor
5. Total ounces of untaxed moist snuff (definition A) above floor (Schedule 3A) ................................... 5
6. Moist snuff (definition A) tax on units above floor (multiply line 5 by $1.78) ...................................... 6
SECTION 4—Moist Snuff (Definition B) Tax on Units at or Below Floor
7. Total number of units (1.2 oz or less) of untaxed moist snuff (definition B) at or below floor (Schedule 4A).... 7
8. Moist snuff (definition B) tax on units at or below floor (multiply line 7 by $2.14) ............................... 8
SECTION 5—Moist Snuff (Definition B) Tax on Units Above Floor
9. Total ounces of untaxed moist snuff (definition B) above floor (Schedule 5A) ................................... 9
10. Moist snuff (definition B) tax on units above floor (multiply line 9 by $1.78) .................................... 10
SECTION 6—Cigar Tax on Cigars Subject to Cap (cigars purchased for 77¢ or more each)
11. Total number of untaxed cigars subject to cap (Schedule 6A) ......................................................... 11
12. Tax on cigars subject to cap (multiply line 11 by $0.50) ................................................................... 12
150-605-006 (Rev. 12-11)

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