Form 610f - Other Tobacco Products (Otp)- Floor Tax Return Retailers And Tobacconists - 2012

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2012
OTHER TOBACCO PRODUCTS (OTP)
FORM
610F
FLOOR TAX RETURN RETAILERS AND
TOBACCONISTS
DUE DATE: October 15, 2012
INDICATE TYPE OF LICENSE HELD
OTP RETAILER
TOBACCONIST
Corporate Name
Office Use Only
Trade as Name
Check Number ________________
Street Address
Amount $ ___________________
City
State
Zip Code
Deposit Date _________________
CONTROL NO:
MD Business License
Sales & Use Tax/Central Registration
NOTE: The tax rate for Premium Cigars did not change. Do not include Premium Cigars on this tax form.
A. Complete this section for product purchased from a MANUFACTURER:
Times (x)
Type of OTP
Total Net Invoice Amount
Equals (=) Tax Due
Additional Tax
Cigars
x
.55
$
1.
RYO
x
.15
$
2.
Pipe Tobacco
x
.15
$
3.
Chewing Tobacco
x
.15
$
4.
Snuff
x
.15
$
5.
Other
x
.15
$
6.
Tax Due on Product Purchased from a Manufacturer
$
7.
B. Complete this section for product purchased from a WHOLESALER:
Times (x)
Type of OTP
Total Net Invoice Amount
Equals (=) Tax Due
Additional Tax
Cigars
x
.51
$
8.
RYO
x
.14
$
9.
Pipe Tobacco
x
.14
$
10.
Chewing Tobacco
x
.14
$
11.
Snuff
x
.14
$
12.
Other
x
.14
$
13.
Tax Due on Product Purchased from a Wholesaler
$
14.
TOTAL TAX DUE
$
15.
If your business name and address is incorrect, please make any corrections above.
As authorized agent, I do solemnly declare and affirm under penalties of perjury that the contents of the foregoing document are
true and correct to the best of my knowledge, information and belief.
Print Name
Business Phone Number
Signature
Title
Date
COM/ATT-610F
Rev. 06/12

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