PHYSICAL INVENTORY
FORM
MARYLAND
602
CIGARETTE
SCHEDULE
TAX
Name: __________________________________________________ License No: _______________________________________
Address: _________________________________________________________________________________________________
Date taken: ______________________ Time: ______ to ______ Taken by: ___________________________________________
The closing of business for this inventory is _______________ , and
(Date)
All sales and purchases after inventory shall be dated ______________________
(Date)
Indicate quantity of cigarettes per pack
_______ 20
_______ 25
Other _______________
Unsaleable
Saleable
Total (packs)
Packs without tax stamps affixed
Packs stamped other than Maryland
(Indicate State)
___________________________________
_________________
________________
_______________
___________________________________
_________________
________________
_______________
___________________________________
_________________
________________
_______________
___________________________________
_________________
________________
_______________
___________________________________
_________________
________________
_______________
Packs stamped Maryland
_________________
________________
_______________
Unaffixed Stamps
Machine
Hand
Total
Stamps
Maryland
_________________________________________________________
Other states
Ascending*
Descending*
(Indicate State)
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
*Show ascending and descending meter readings for states using Pitney-Bowes machines.
IMPORTANT: HAVE YOU INVENTORIED ALL CIGARETTES?
_______
ALL STAMPS? _________
I certify that the above information is true and correct and further certify that the entire cigarette stock and all unused stamps on
hand have been counted.
ATTB: __________________________________________
PRINT NAME: _____________________________________
ATTB: __________________________________________
SIGNATURE: ______________________________________
For Licensee
TITLE: ___________________________________________
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. Please submit completed original and one (1) copy to Comptroller of Maryland,
Revenue Administration Division, P O Box 2999, Annapolis, MD 21404-2999.
COM/RAD-602
Revised 02/13