Form Ct-111 - Cigarette Warehouse Report - Wisconsin Department Of Revenue Page 2

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INSTRUCTIONS
WHO MUST FILE
HOW TO COMPLETE THIS REPORT
All cigarette warehouse permittees located in
Line 1 Name of Cigarette Manufacturer. Identify
Wisconsin who store unstamped cigarettes must
all cigarette manufacturers unstamped cigarettes
file this report each month with the department.
stored by the company. If unstamped cigarettes are
stored for more than three cigarette manufacturers,
FILING THIS REPORT
attach an additional schedule providing the same
information as requested on lines 2 through 8 on
This report must be filed electronically. Form is
the Form CT-111. The “Total” column on your Form
located at
CT-111 must reflect activity for all of the cigarette
This report is due 15 days after the close of the
month. To be timely filed, this report must be re-
manufacturers covered by this report.
ceived electronically by the due date.
Line 2 Beginning Inventory. Enter the inventory
shown on Line 7 of the preceding month’s Form
RECORD KEEPING
CT-111 for each column.
Keep a complete copy of this report and all records
pertaining to the business for a minimum of four
Line 3 Receivals. Enter the total number of single
years. The report must be kept at the permit lo-
cigarettes received during the month from the vari-
cation in a place and manner easily accessible for
ous cigarette manufacturers. It is not necessary
review by department representatives.
to submit schedules detailing receivals. However,
it is required to maintain records of receivals at the
NAME/ADDRESS/OWNERSHIP CHANGES
warehouse for examination by department person-
Immediately notify the department in writing when
nel.
this business undergoes any change to its name,
address, or ownership.
Line 5 Shipments. Enter the total number of single
cigarettes, by manufacturer, shipped during the
ASSISTANCE
month to cigarette distributors, military installations,
You can access the department’s website at
and veteran hospitals. It is not necessary to submit
schedules detailing shipments. However, records
of shipments must be kept at the warehouse for re-
From this website, you can:
view by department personnel.
• Complete electronic fill-in forms
• Download forms, schedules, instructions, and
Line 7 Ending Physical Inventory. At the end of
publications
each month, a physical inventory must be taken of
• View answers to frequently asked questions
the unstamped cigarettes in the warehouse. Enter
• E-mail us for assistance
the total number of unstamped cigarettes on hand
per manufacturer based on the physical inventory
Madison Office Location
on line 7.
2135 Rimrock Road
Madison WI 53713
Line 8 Inventory Discrepancies. If the number of
cigarettes entered on Lines 6 and 7 are not equal,
Mailing Address
there is an inventory discrepancy. To compute the
Excise Tax Section 6-107
amount of the discrepancy, subtract Line 7 from
Wisconsin Department of Revenue
Line 6 in each column and enter the difference on
PO Box 8900
Line 8. When Line 7 exceeds Line 6, use a negative
Madison WI 53708-8900
sign in front of the amount on Line 8.
Phone: (608) 266-8970
Fax: (608) 261-7049
E-mail: excise@revenue.wi.gov

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