Instructions For Alaska Transfer Of Cigarette Tax Stamps

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Instructions for Alaska Transfer of Cigarette Tax Stamps
If this transfer is approved, the number of stamps
General Instructions
transferred as reported in Part III, Column C must be
Effective January 1, 2004, the cigarette excise tax
reported on Schedule C, Cigarette and Cigarette Tax
authorized by AS 43.50 must be paid through the use of
Stamp Inventory Report of form 522, Cigarette and
cigarette tax stamps. Cigarette tax stamps are required
Tobacco Products Monthly Tax Return, for the period in
to be affixed to packages of cigarettes before sale or
which the stamps were transferred.
distribution in the state. Cigarette licensees may not sell,
exchange or transfer unaffixed cigarette tax stamps without
prior written approval by the Department of Revenue.
Questions
Form 622 is used to request approval for the transfer of
If you have questions about this form, please contact the
cigarette tax stamps.
Tax Division at 907-269-6620
or dor.tax.cigarette@alaska.gov.
Specific Instructions
Part I. Enter information regarding the licensee transferring
the cigarette tax stamps.
Part II. Enter information regarding the licensee receiving
the cigarette tax stamps.
Part III. Enter information regarding the cigarette tax
stamps being transferred.
PM cigarettes are cigarettes manufactured by those
companies that signed the tobacco master settlement
agreement. NPM cigarettes are cigarettes manufactured
by those companies that did not sign the tobacco master
settlement agreement. A list of PM and NPM cigarettes
approved for sale in Alaska can be found on our web site
at:
Penalties
Unauthorized transfer of unaffixed stamps. A licensee may
not sell, exchange or otherwise transfer stamps not affixed
to a package of cigarettes to another person without the
prior written approval of the Department. The Department
may assess a civil fine of not less than $1,000 nor more
than $10,000 for a violation of this provision.
Signatures
Form 622 must be signed and dated by the licensee
transferring the cigarette tax stamps and the licensee
receiving the cigarette tax stamps.
Where to Send Form 622
TAX DIVISION
ALASKA DEPARTMENT OF REVENUE
550 W 7TH AVE STE 500
ANCHORAGE AK 99501-3566
After the form has been approved or unapproved, a
copy will be returned to both the licensee transferring
the cigarette tax stamps and the licensee receiving the
cigarette tax stamps. The form may also be faxed to 907-
269-6644.
0405-622i Rev 08/12

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