Form 612-2 - Other Tobacco Products (Otp) Storage Warehouse Schedule - Dispositions Page 2
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1
2OTHER TOBACCO PRODUCTS (OTP)
page 2
FORM
612-2
STORAGE WAREHOUSE SCHEDULE -
DISPOSTIONS
This schedule must be completed and submitted with
For more information:
Comptroller of Maryland
your Maryland OTP Storage Warehouse Report. The
Revenue Administration Division
number of cases on Line 5 of the Maryland OTP Storage
Returns Processing
Warehouse Report must equal all transactions reported
P.O. Box 1751
on the OTP Dispostions Schedule.
Annapolis, MD 21404-1751
Enter corporate name, report period, location, and OTP
Telephone: 410-260-7980, 800-638-2937
license number on the lines provided. In lieu of using
Fax: 410-974-3608
this form to report each dispostion or shipment,
a hard-copy report with the same information on
this Dispostions Schedule may be submitted.
Instructions for completion:
Line Column
1-10
A
Enter the date when OTP was physically
removed from the warehouse.
1-10
B
Enter the bill of lading number, or other
refernce number, as appropriate.
1-10
C
Enter the name and address to whom the
OTP was disposed of or shipped to.
1-10
D
Enter the OTP product type (RYO tobacco,
cigars, pipe tobacco, chewing tobacco,
snuff, or other) for each dispostion.
1-10
E
Enter the quantity of each case.
1-10
F
Enter number of cases for each OTP
acquisition.
COM/RAD-ATT-612-2
Rev. 4/13
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