Form 605-D (Schedule D) - Maryland Cigarette Tax
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1FORM
MARYLAND
Page: _____________ of ______________
SCHEDULE D
605-D
CIGARETTE
Month or Period: ___________ 20 ______
TAX
License No.: ________________________
DISTRIBUTOR’S NAME
ADDRESS
Cigarettes returned for credit to manufacturers during month or period -
(Indicate name of manufacturer)
MARYLAND TAX STAMPS
TAX STAMPS AFFIXED OTHER
FOR OFFICE
WITHOUT TAX STAMPS AFFIXED
AFFIXED
STATES
USE ONLY
Date Actually
Ref. No. or
Carrier
Received
Invoice No.
Packs
Packs
Packs
Packs
Packs
Packs
Packs
Packs
Packs
State
(credit memo)
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-D
Revised 02/13
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