Form 605-E (Schedule E) - Maryland Cigarette Tax

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SCHEDULE E
FORM
MARYLAND
Page: _____________ of ______________
605-E
CIGARETTE
Month or Period: ___________ 20 ______
TAX
License No.: ________________________
DISTRIBUTOR’S NAME
ADDRESS
MISCELLANEOUS DISPOSITIONS
MARYLAND TAX STAMPS
WITHOUT TAX STAMPS
TAX STAMPS AFFIXED OTHER STATES
AFFIXED
AFFIXED
FOR OFFICE
Date
Ref. No.
Type of Disposition
USE ONLY
Packs
Packs
Packs
Packs
Packs
Packs
Packs
Packs
Packs
State
20’s
25’s
Other ____
20’s
25’s
Other ____
20’s
25’s
Other ____
TOTAL
For more information:
Visit our Web site at or call Taxpayer Service at 410-260-7980 in Central Maryland or 1-800-638-2937 from elsewhere. Send faxes to 410-260-7924.
Mail to: Comptroller of Maryland, Revenue Administration Division, P.O. Box 2999, Annapolis, MD 21404-2999.
COM/RAD-605-E
Revised 02/13

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