Form Tt-100 Instructions And Sample - Wisconsin Distributor'S Tobacco Products Tax Page 2
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1
2TT-100: Wisconsin Distributor’s Tobacco Products Tax Return
Read instructions before completing.
Tax Account Number
FEIN / SSN
Month Covered
(MM DD YYYY)
Cancel my permit effective
Legal Name
(MM DD YYYY)
Check if change to name, address,
Business Name (DBA)
entity, or email
Permit/Business Address
Check if this is an amended return
City
State
Zip Code
Check if correspondence is included
Section 1
ALL TOBACCO PRODUCTS TAX (excluding moist snuff and cigars)
1 Total untaxed tobacco products purchased / sold (see instructions) . . . . . . . . . . . . . . . . . . .
.00
1
2 Credit for exempt organizations / returned merchandise / short shipments
(Form TT-101, schedule 3, untaxed credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
2
3 Sales to other states (Form TT-101, schedule 5, untaxed sales) . . . . . . . . . . . . . . . . . . . . . .
.00
3
4 Net untaxed tobacco products purchase / sold (subtract lines 2 and 3 from line 1) . . . . . . . .
.00
4
71%
5 Tobacco products tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6 Tobacco products tax (multiply line 4 by line 5 and round to the nearest dollar) . . . . . . . . . .
.00
6
Section 2
MOIST SNUFF TAX
7 Total untaxed moist snuff purchased / sold (see instructions) . . . . . . . . . . . . . . . . . . . . . . . .
7
.00
8 Credit for exempt organizations / returned merchandise / short shipments
(Form TT-101M, schedule 3, untaxed credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
8
9 Sales to other states (Form TT-101M, schedule 5, untaxed sales) . . . . . . . . . . . . . . . . . . . .
.00
9
10 Moist snuff tax (subtract lines 8 and 9 from line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
.00
Section 3
CIGAR TAX
11 Tax on cigars purchased / sold (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
.00
12 Tax credit for exempt organizations / returned merchandise / short shipments
(Form TT-101C, schedule 3, untaxed credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
.00
13 Tax credit for sales to other states (Form TT-101C, schedule 5, untaxed sales) . . . . . . . . . . 13
.00
14 Net cigar tax (subtract lines 12 and 13 from line 11 and round to the nearest dollar) . . . . . . 14
.00
Section 4
TAX RECONCILIATION
15 Total tobacco products, moist snuff, and cigar tax due / refund
(add lines 6, 10, and 14) Refund is identified as a negative number . . . . . . . . . . . . . . . . . . . 15
.00
16 Less bad debt tobacco products tax deduction (Form TT-117, column G) . . . . . . . . . . . . . . . 16
.00
.00
17 Add bad debt tobacco products tax repayment (attach schedule and explanation) . . . . . . . . 17
18 TOTAL AMOUNT DUE (If line 15 less line 16 plus line 17 is greater than zero) . . . . . . . . . . 18
.00
19 TOTAL REFUND CLAIMED (If line 15 less line 16 plus line 17 is less than zero) . . . . . . . . . 19
.00
Section 5
MASTER SETTLEMENT AGREEMENT REPORTING
20 Do you have any Master Settlement Agreement (MSA) reporting requirements for
Non-Participating Manufacturers’ products for this period? . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Yes
No
If yes, complete Form TT-101.
Enter your new MSA email address if your required MSA email address has changed
DECLARATION: I declare under penalties of law that I have examined this return and all attachments and, to the best of my knowledge
and belief, it is true, correct, and complete.
Preparer’s Name (please print or type)
Signature of Permittee (or authorized agent)
Email Address
Preparer’s Phone Number
Date
(
)
TT-100 (R. 10-13)
- 2 -
Wisconsin Department of Revenue
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