Form Mt-201 - Tobacco Products Use Tax Return
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1
2MT-201
New York State Department of Taxation and Finance
Tobacco Products Use Tax Return
(8/10)
Tax Law — Article 20
You must file this return within 24 hours after the tax liability occurs. You may also have to pay a sales and use tax on your tobacco
products purchases. The sales and use tax is paid with your personal income tax return or by filing Form ST-140, Individual Purchaser’s
Annual Report of Sales and Use Tax. Generally, the sales and use tax is due on April 15. See the instructions for Form ST-140 or your
personal income tax return. Keep a copy of Form MT-201 and Form ST-140 or your income tax return for your records.
Read the instructions carefully before completing this return. Attach photocopies of purchase invoices.
Legal name
Employer identification number (EIN)
Social security number
Street address
City
State
ZIP code
Part 1 — Snuff
(See instructions. Attach additional sheets if necessary.)
A
B
Date
Name and address of supplier
Brand name Mail or
Nature
Number of
Total ounces in
internet
of use
of use
containers less
containers of 1 ounce
order
(self-use,
than 1 ounce
or more
(do not round)
gift, etc.)
Yes
No
Yes
No
1 Total snuff .....................................................................................................................
1.
2.00
2.00
2 New York State rate of use tax on snuff (per ounce) ....................................................
2.
3 New York State use tax on snuff
3.
...............................................
(multiply line 1 by line 2)
4 Total
....................................................................................
(add line 3, columns A and B; enter here and on line 12)
4.
Part 2 — Little cigars
(See instructions. Attach additional sheets if necessary.)
A
B
Date
Name and address of supplier
Brand name Mail or
Nature
Number of packs
Number of packs
internet
of use
of use
containing 20
containing 21-25
order
(self-use,
or less little cigars
little cigars
gift, etc.)
(see instructions)
Yes
No
Yes
No
5 Total little cigars ...........................................................................................................
5.
4.35
5.4375
6 New York State rate of use tax on little cigars .............................................................
6.
7 New York State use tax on little cigars
......................................
7.
(multiply line 5 by line 6)
8 Total
....................................................................................
8.
(add line 7, columns A and B; enter here and on line 13)
Part 3 — Tobacco products other than snuff and little cigars
(See instructions. Attach additional sheets if necessary.)
Date
Name and address of supplier
Brand name Mail or
Nature
Type of
Quantity
Wholesale price
of use
internet
of use
product
(number of cigars,
pounds of
order
(self-use,
(cigars, tobacco,
tobacco or
gift, etc.)
RYO, etc.)
ounces of RYO)
Yes
No
Yes
No
Yes
No
9 Total ...................................................................................................................................................................... 9.
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