Form Tpt-20 - Tobacco Products Tax Return

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(1/09)
STATE OF NEW JERSEY - DIVISION OF TAXATION
State of New Jersey - TPWST
TOBACCO PRODUCTS TAX RETURN
Division of Taxation
Revenue Processing Center
FORM TPT-20
PO Box 280
Trenton, NJ 08646-0280
Type or print the requested information
Return for the Period Ended:
_________________
TAXPAYER NAME
FEIN ID#: __________________________________
ADDRESS
Due on or before:
_________________
Check if applicable:
CITY
STATE
ZIP CODE
Out of Business
Amended Return
*One of the following statements must be checked.
No, I did not purchase any roll-your-own cigarette tobacco products during this reporting month.
Yes, I did purchase roll-your-own cigarette tobacco products during this reporting month. Attach schedule E.
Tobacco
1.Tobacco products (excluding moist snuff) purchased, imported, received or acquired in New Jersey
(from Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. Tobacco products (excluding moist snuff) exported from New Jersey (from Schedule B) . . . . . . . . . . . .
2.
3. Tobacco products (excluding moist snuff) sold, used, or distributed in a non-taxable manner
(from Schedule C) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Purchases of tobacco products (excluding moist snuff) available for sale (line 1 minus lines 2 & 3) . . . .
4.
5. Sale, Use, or Distribution of tobacco products (excluding moist snuff) subject to tax (from Schedule D).
5.
6. Tax due on tobacco products (excluding moist snuff). Multiply line 5 by 30% . . . . . . . . . . . . . . . . . . . .
6.
Moist Snuff
7. Total ounces of moist snuff purchased, imported, received or acquired in New Jersey
(from Schedule A-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
8. Total ounces of moist snuff exported out of New Jersey (from Schedule B-1). . . . . . . . . . . . . . . . . . . . . .
8.
9. Total ounces of moist snuff sold, used or distributed in a non-taxable manner (from Schedule C-1) . . . .
9.
10. Purchases of moist snuff available for sale (ounces - line 7 minus lines 8 & 9) . . . . . . . . . . . . . . . . . . . . 10.
11. Sale, Use, or Distribution of moist snuff subject to tax (ounces - from Schedule D-1) . . . . . . . . . . . . . . . 11.
12. Tax due on moist snuff. Multiply line 11 by 0.75 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.
13. Total tax due (add line 6 and line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13.
14. Penalty and Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14.
15. Total amount due (add line 13 and 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15.
Declaration: I declare under the penalties provided by law, that this return (including any accompanying schedules and statements) has been examined
by me and to the best of my knowledge and belief is a true, correct and complete return. If the return is prepared by a person other than the taxpayer,
this declaration is based on all the information relating to the matters required to be reported in the return of which he has knowledge.
Taxpayer Signature
Title
Date
Print Taxpayer Name
Telephone Number
Taxpayer ID#
Paid Preparer Signature
Preparer’s Address
Preparer’s ID#

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