Form Cg-8 - Kansas Wholesale Cigarette Dealer'S Monthly Report

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KANSAS DEPARTMENT OF REVENUE
MISCELLANEOUS TAX – DIVISION OF TAXATION
915 SW HARRISON ST.
TOPEKA, KANSAS 66612-1588
Web site:
Email: miscellaneous.tax@kdor.ks.gov
Phone: (785) 368-8222
Fax: (785) 291-3968
KANSAS WHOLESALE CIGARETTE DEALER’S MONTHLY REPORT
Please read the instructions on the back of this form.
r
r
Check the appropriate box (Use a separate sheet for each)
20s
25s
Name
Filing Month/Year
Address
License Number
Signature of Dealer
IN-STATE WHOLESALE CIGARETTE DEALER ONLY
PACKS OF CIGARETTES
1.
First of month physical inventory of unstamped cigarette packs (Should match line 7 from last month)
1.
2.
2.
Unstamped packs of cigarettes purchased (Attach Schedule A)
3.
Total available unstamped packs of cigarettes (add lines 1 and 2)
3.
4.
Stamped during month for:
4a
Kansas
4b
Missouri
(Attach Schedule C for
4c
Nebraska
4d
Colorado
each state other than
4e
Oklahoma
4f
Other
Kansas)
4g
Other
4h
Other
Total product stamped during month (add lines 4a through 4h)
4.
Sales to US Government (Attach Schedule C)
5.
5.
Unstamped cigarette packs returned to the manufacturer (Attach Schedule C)
6.
6.
Adjustment to physical inventory – stamped vs. sold
6a.
6a.
End of month physical inventory of unstamped cigarette packs
7.
7.
STAMPED PACKS OF CIGARETTES
8.
First of month physical inventory of Kansas stamped cigarette packs (Should match line 13 from last month)
8.
9.
Kansas stamped packs of cigarettes purchased (Attach Schedule B)
9.
10.
Packs you stamped for Kansas (Should match line 4a)
10.
11.
11.
Total Kansas stamped cigarette packs available (Add lines 8, 9 and 10)
12.
Total Kansas sales for month
12.
13.
13.
End of month physical inventory of Kansas stamped cigarette packs (Subtract line 12 from line 11)
ALL WHOLESALE CIGARETTE DEALERS
KANSAS CIGARETTE TAX STAMPS
14.
First of month physical inventory of unaffixed Kansas stamps (Should match line 19 from last month)
14.
15.
Total Kansas cigarette stamps purchased
15.
15a. Stamp adjustment to physical inventory
15a.
16.
16.
Total Kansas stamps available (Add lines 14 and 15)
17.
Total Kansas cigarette stamps affixed to packs (Same as line 4a or line 21. If not, explain on 17a)
17.
17a.
17a.
18.
Total Kansas cigarette stamps destroyed by process
18.
19.
Total Kansas cigarette stamps unaffixed ending inventory
(Subtract the total of lines 17 and 18 from line 16)
19.
OUT-OF-STATE WHOLESALE CIGARETTE DEALER ONLY
STAMPED CIGARETTE PACKS
20. First of month physical inventory of Kansas stamped cigarette packs (Should match line 26 from last month)
20.
21. Total Kansas cigarette stamps affixed to packs
21.
22. Total Kansas stamped cigarette packs received during month (Attach Schedule B)
22.
23. Total cigarette packs returned from retailers
23.
24. Total Kansas stamped cigarette packs (Add lines 20, 21, 22 and 23)
24.
25. Total Kansas sales for month (Attach Schedule A)
25.
26. Total end of month inventory of Kansas stamped cigarette packs (Subtract line 25 from line 24)
26.
th
This report, along with all supporting schedules, is due by the 10
day of the month following the report month.
CG-8
(Rev. 12/13)

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