Form 529 - Report Of Cigarettes Imported For Sale Or Distribution In Alaska Manufactured Outside The United States

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Alaska

Report of Cigarettes Imported for Sale or Distribution

in Alaska Manufactured Outside the United States

AS 43.50.410

License Number

Name and Address of Licensee

Quarter Ending (Month/Year)

EIN

SSN

You must complete the following information for cigarettes manufactured outside the United States imported by you for sale or distribution in Alaska.

Instructions: The information on this report is required to comply with AS 43.50.410. If you import cigarettes that were manufactured outside the United States for sale or distribution in Alaska, you

must provide the following information by the due date. This form is due on or before the last day of the calendar quarter for cigarettes that were imported into Alaska in the preceding calendar quarter. A

“calendar quarter” means each of the three-month periods ending March 31, June 30, September 30, and December 31. For example, cigarettes that were manufactured outside the United States and

imported into Alaska during the period January 1 through March 31 must be reported to the Tax Division on or before June 30 of the same year.

(Complete this portion of the form only if you shipped cigarettes to persons in Alaska)

Foreign Manufactured

Import Date

Quantity

Name of Person to Whom

Cigarette Brand

Address

City

State

Zip

Cigarettes Were Shipped