Schedule Cig-Bdc - Cigarette Tax Bad Debt Credit Form

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Indiana Department of Revenue
Schedule CIG-BDC
P.O. Box 901
State Form
Indianapolis, IN 46206-0901
(R / 12-07)
Cigarette Tax Bad Debt Credit Form
Name of Licensee
Cig License Number
FID#
Date of Order
To be eligible for a bad debt credit, a debt must meet the definition of "bad debt" provided for under IRC 166
"Bad Debt" means the taxes attributable to any portion of a debt that is related to a sale of tobacco products subject to tax under Article 6-7-1-12 that is not
otherwise deductible or excludable, that has become worthless or uncollectible in the time period between the date when taxes accrue to the state for the
present return, and that is eligible to be claimed, or could be eligible to be claimed if the licensee kept accounts on an accrual basis, as a deduction pursuant to
section 166 of the Internal Revenue Code. A bad debt shall not include any interest on the wholesale price of a tobacco product, uncollectible amounts on
property that remains in the possession of the licensee until the full purchase price is paid, expenses incurred in attempting to collect any account receivable
or any portion of the debt recovered, any accounts receivable that have been sold to a third party for collection, and repossessed property.
A
B
C
D
E
F
Number of Cigarettes:
Invoice
Invoice
Name and Address of the Company the Cigarettes were Shipped,
Times Tax Rate
Total Amount of
Not packs, cartons, or
Date
Number
Sold, or Transferred to
$0.04975
Tax
cases
Note: Multiple Pages Can Be Used
TOTAL
IMPORTANT: Carry total from Column F of this schedule to Line I on Form CT-4A Indiana Cigarette Tax Stamp Order
*This schedule must be submitted and approved before credit can be claimed*
A person claiming a bad debt deduction on this schedule must complete in full the information required above and must attach all of the following:
1. A copy of the original invoice that supports each of the bad debts listed above
2. Evidence that the tobacco product was delivered to the purchaser (e.g. a bill of lading signed by the purchaser).
3. Evidence that the purchaser of the tobacco product did not pay the licensee and that the licensee has used reasonable collection practices to collect the debt.
(Proof of reasonable collection practices includes copies of delinquency letters, invoices showing past due amount, and/or copies of US Certified Mail cards
showing the person signed for the letter/invoice and/or refused to accept the letter/invoice)
NOTE: The delivery of tobacco products to a purchaser who is delinquent on a previous delivery of tobacco products may result in the department requiring additional
evidence that the licensee used reasonable collection practices to collect the debt.
4. Explain why you decided the debt was worthless. For example, you could show that the borrower had declared bankruptcy, or that legal action to collect
would probably not result in payment of this debt.
Failure to provide this information and documentation could result in this credit to be denied.
I certify under penalty of perjury that the information on this schedule and any attachments is true and complete to the best of my knowledge.
Authorized Signature/Title
Date

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