Form Ct-100 - Wisconsin Distributor'S Cigarette Tax Reutrn
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2CT-100: WISCONSIN DISTRIBUTOR’S
CIGARETTE TAX RETURN
Tax Account Number
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 Address
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
1. Physical inventory first of month (from line 10 of your prior months CT-100) . . . . . . . . . . 1
2. Unstamped cigarettes purchased (from CT-101, Schedule 1, untaxed purchases,
column A, line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 . Total available (add lines 1 and 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4. Total out-of-state sales (from CT-101, Schedule 5, untaxed sales, column A, line 20) . . . 4
5. Sales in Wisconsin (from CT-101, Schedule 5, untaxed sales, column A, line 20) . . . . . . 5
6. Credits (from CT-101, Schedule 3, untaxed credits, column A, line 20) . . . . . . . . . . . . . . 6
7. Total exemptions (add lines 4, 5, and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8. Gross taxable cigarettes (line 3 less line 7; complete line 10 next) . . . . . . . . . . . . . . . . . 8
9. Net taxable cigarettes (subtract line 10 from line 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
1 0. End-of-month physical inventory of unstamped cigarettes . . . . . . . . . . . . . . . . . . . . . . . . 10
SECTION 2
RECONCILIATION OF CIGARETTES AND WISCONSIN TAX STAMPS
11 . Tax due on single cigarettes on line 9 above
Enter single cigarettes from line 9 above ►
X .126 11
.00
1 2. Value of Wisconsin stamps used (from CT-104, column H, line 23) . . . . . . . . . . . . . . . . . 12
.00
.00
13 . If line 11 exceeds line 12, enter the difference here . . . . . . . . . . . . . . . . NET DEBIT
13
14 . If line 12 exceeds line 11, enter the difference here . . . . . . . . . . . . . . . . NET CREDIT 14
.00
CT-100 (R. 1-12)
For Department Use Only
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