Form Ct-105 - Wisconsin Distributor'S Cigarette Tax Return - Out-Of-State Permittees

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CT-105: WISCONSIN DISTRIBUTOR’S
CIGARETTE TAX RETURN
Tax Account Number
OUT-OF-STATE PERMITTEES
FEIN / SSN
Month Covered (MM DD YYYY)
Use BLACK INK Only
Cancel my permit effective
Legal Name
Business Name (DBA)
(MM DD YYYY)
Check if address, name, or entity
Permit/Business Location
change
City
State
Zip Code
Check if this is an amended return
Check if correspondence is included
Print numbers like this 
Not like this 
NO COMMAS
SECTION 1
RECONCILIATION OF UNSTAMPED SINGLE CIGARETTES
.00
1. Value of inventory of Wisconsin stamps from line 11 of your prior month’s CT-105 . . . . . 1
.00
2. Value of Wisconsin stamps purchased (from CT-104, column H, line 19) . . . . . . . . . . . . 2
3. Value of Wisconsin stamps on cigarettes received from other permittees
(from CT-101, Schedule 2, tax-paid purchases, column A, line 20)
.126 X ►
3
.00
(number of single cigarettes)
.00
4. Total value of available Wisconsin stamps (add lines 1, 2, and 3) . . . . . . . . . . . . . . . . . . 4
5. Value of affixed Wisconsin stamps returned to manufacturers
(from CT-118, Sec. B, line 12)
.126 X ►
5
.00
(number of single cigarettes)
6. Value of unaffixed Wisconsin stamps, returned, lost, or destroyed
.00
(from CT-104, column H, line 21). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7. Total value of Wisconsin stamps disposed of by means other than through sales
.00
of stamped cigarettes into Wisconsin (add lines 5 and 6) . . . . . . . . . . . . . . . . . . . . . . . . 7
.00
8. Net value of stamps to be accounted for (line 4 less line 7). . . . . . . . . . . . . . . . . . . . . . . 8
9. Value of end-of-month inventory of Wisconsin stamps not affixed
(from CT-104, column H, line 24). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
.00
10. Value of end-of-month inventory of Wisconsin stamps on cigarettes
(from CT-118, Sec. A, line 7)
.126 X ►
10
.00
(number of single cigarettes)
.00
11. Total value of end-of-month inventory of Wisconsin stamps (add lines 9 and 10) . . . . . . 11
12. Tax paid by Wisconsin stamps disposed of (line 8 less line 11) . . . . . . . . . . . . . . . . . . . . 12
.00
13. Tax due on total sales of single cigarettes into Wisconsin
(from CT-101, Schedule 6, tax-paid sales, column A, line 20)
.126 X ►
.00
13
(number of single cigarettes)
.00
14. If line 13 exceeds line 12, enter the difference here . . . . . . . . . . . . . . . NET DEBIT
14
.00
15. If line 12 exceeds line 13, enter the difference here . . . . . . . . . . . . . . . NET CREDIT
15
CT-105 (R. 1-12)
For Department Use Only

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