Form 608-3 - Wholesaler'S Monthly Report Of Maryland Stamped Cigarettes And/or Maryland Sales Of Roll-Your-Own (Ryo) Tobacco

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FORM
WHOLESALER’S MONTHLY REPORT OF MARYLAND STAMPED
608-3
CIGARETTES AND/OR MARYLAND SALES OF ROLL-YOUR-OWN
(RYO) TOBACCO ON WHICH THE TOBACCO TAX HAS BEEN PAID
BY MANUFACTURER AND BRAND FAMILY
Wholesaler’s Name
License/Registration No.
Month or Period (must correspond with the month or period on Form 608)
Year
Manufacturer’s Name and Address:
From Whom Purchased (Name and Address):
First Importer if Foreign Manufactured Product (Name and Address):
Report all cigarettes stamped with a Maryland tax stamp and all sales of roll-your-own tobacco on which the tobacco tax has been paid for the report month.
(B) Number of Cigarette Packs Stamped
(C) RYO Equivalent Stick Count (At .09 oz. each) on which the
(A) Brand Family/Name
tobacco tax has been paid
Packs of 20
Packs of 25
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Manufacturer’s Totals:
I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing documents are true, correct and complete to the best of my
knowledge, information and belief.
Owner
Partner
Officer
Print name
Title (Check one)
Signature
Date
COM/RAD-608-3
Revised 02/13

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