Form 609a - Maryland Other Tobacco Products (Otp) Wholesaler Tax Return - Schedule A - Roll-Your-Own (Ryo) Tobacco - 2013

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FORM
2013
MARYLAND OTheR TObAccO
609A
PRODucTS (OTP) WhOLeSALeR
TAx ReTuRN - ScheDuLe A - ROLL-
YOuR-OWN (RYO) TObAccO
Legal Name
Report Month
Federal Identification Number (FEIN)
Trade Name
Central RegistrationNumber (CR#)
In lieu of using the form to report each sale or purchase, a hard-copy report with the same
information on Schedule A may be submitted.
OTP Wholesaler
For all Roll-Your-Own (RYO) tobacco products included in this report period, list the brand family name,
manufacturer’s name and address. Also list the amount sold in Maryland (in ounces) below:
A
B
C
D
RYO Brand Family
RYO Manufacturer's Name
RYO Manufacturer's Address
Amount (In Ounces)
Name
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COM/RAD-609-1
Rev. 02/13

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