Form Ct-117 - Cigarette Distributor Bad Debt Deduction For Uncollectible Wisconsin Cigarette Tax

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CT-117: CIGARETTE DISTRIBUTOR BAD DEBT DEDUCTION
FOR UNCOLLECTIBLE WISCONSIN CIGARETTE TAX
(file with Form CT-100 or CT-105)
Month/Year (MM YYYY)
Name
Tax Account Number
Column A
Column B
Column C
Column D
Column E
Column F
Column G
Sales Invoice
Line
Sold To
Type
Date
WISCONSIN
Tax Rate*
Uncollectible
(as of date in
No.
of
Wrote Off as
STAMPED
CigaretteTax
Column A)
(Column E x Column F)
Date
Number
Name and Address
FEIN / SSN
Customer
Uncollectible
Single Cigarettes
Wholesaler
1
Retailer
Wholesaler
2
Retailer
Wholesaler
3
Retailer
Wholesaler
4
Retailer
Wholesaler
5
Retailer
Wholesaler
6
Retailer
Wholesaler
7
Retailer
Wholesaler
8
Retailer
Wholesaler
9
Retailer
Wholesaler
10
Retailer
Wholesaler
11
Retailer
Wholesaler
12
Retailer
Wholesaler
13
Retailer
Wholesaler
14
Retailer
Wholesaler
15
Retailer
Total – Add lines 1 through 15 and enter total of Column G on Form CT-100, line 16 or CT-105, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
CT-117 (R. 1-12)
Wisconsin Department of Revenue

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