Form Ct-104 - Monthly Schedule Of Purchases And Ending Inventory Of Unaffixed Wisconsin Cigarette Stamps

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CT-104: MONTHLY SCHEDULE OF PURCHASES AND ENDING INVENTORY OF UNAFFIXED WISCONSIN CIGARETTE STAMPS
(file with Form CT-100 or CT-105)
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Please read the instructions before completing this form.
Month/Year (mm yyyy)
Name
Tax Account Number
STAMP DENOMINATIONS (number of stamps)
Column H
TRIBAL
REGULAR
GROSS VALUE
Column D
Column E
Column F
Column G
OF STAMPS
(columns D-G)
25’s
20’s
25’s
20’s
PHYSICAL INVENTORY FIRST OF THE MONTH
$
1
Stamp Purchases
Column B
Column C
Column A
Issue Date
Printing Costs
Date Received
2
$
$
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
$
$
19
Total (add lines 2 through 18)
20
Total Available (add lines 1 and 19)
$
21
Less: returned, lost or destroyed stamps (please explain)
$
22
Net Available (line 20 less line 21; complete line 24 next)
$
23
Stamps Used (line 22 less line 24)
$
24
PHYSICAL INVENTORY END OF THE MONTH
$
CT-104 (R. 1-12)
Wisconsin Department of Revenue

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