Form 611 - Other Tobacco Products (Otp) Manufacturer Report Page 2

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INSTRUCTIONS - OTHER TOBACCO
page 2
FORM
611
PRODUCTS (OTP) MANUFACTURER
REPORT
Who must file this report?
Instructions for completion:
An OTP manufacturer and a licensed OTP manufacturer
Line Column
(manufacturer located in Maryland) who:
1-10
(A) List the date of each delivery made for
(1) manufacturers or otherwise produces OTP
the report month.
intended for sale in Maryland, including OTP
1-10 (B) Provide the invoice number of each
intended for sale in the United States through an
delivery listed in Column (A).
importer;
1-10
(C) Provide the Maryland licensee the OTP
(2) sells OTP on which the OTP tax has not been
was delivered to for each delivery
paid to a licensed wholesaler in Maryland;
listed in Column (A).
(3) sells OTP on which the OTP tax has not been
1-10
(D) Provide license number of Maryland
paid and which may be lawfully sold in Maryland
licensee for each delivery listed in
to a licensed OTP wholesaler located outside of
Column (A): OTP wholesaler license is
Maryland;
issued by the Comptroller of Maryland,
(4) distributes sample OTP products to consumers
and the OTP retailer license and OTP
located in Maryland, unless otherwise prohibited
tobacconist license are issued by the
by law;
Clerk of the Circuit Court in the county
(5) sells OTP to a Maryland licensed tobacconist; or
where the business is located.
(6) sells “premium cigars” or “pipe tobacco” to a
1-10
(E) Provide the product type (RYO, cigars,
Maryland licensed OTP retailer.
pipe tobacco, chewing tobacco, snuff,
or other) for each delivery listed in
General Instructions
Column (A).
1. Report must be signed by the owner, partner,
1-10
(F) Provide the invoice amount of each
officer of the corporation, or an agent who has
delivery listed in Column (A).
signing authority binding the owner, partner or
officer of the corporation.
Send payment to:
Comptroller of Maryland
Revenue Administration Division
2. A completed report must be received by the
Returns Processing
Revenue Administration Division no later than
P.O. Box 1751
the 15th day of the month following the month in
Annapolis, MD 21404-1751
which OTP was delivered to a Maryland licensee.
An OTP manufacturer is authorized to sell and
deliver OTP to a licensed OTP wholesaler and OTP
Telephone: 410-260-7980, 800-638-2937
licensed tobacconist; and to sell and deliver "pipe
Fax: 410-974-3608
tobacco" and "premium cigars" to a licensed OTP
retailer.
3. A report must be filed even if you had no activity
in the report month.
Enter your corporate name, address, report period,
and OTP license number (if located in Maryland)
on the lines provided. In lieu of using the form
to report each delivery of OTP, a hard-copy
report with the same information on this OTP
Manufacturer Report may be submitted.
COM/RAD-ATT-611
Rev. 4/13

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