Form Ct101 - License Application For Tobacco Products Distributors And Subjobbers - 2018-2019 Page 5

Download a blank fillable Form Ct101 - License Application For Tobacco Products Distributors And Subjobbers - 2018-2019 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Ct101 - License Application For Tobacco Products Distributors And Subjobbers - 2018-2019 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Form CT101 page 2
Distributors
List the name and address of each manufacturer from whom you purchase or intend to purchase tobacco products.
Enter the date of your first untaxed tobacco purchase:
Subjobbers
List the name and address of each Minnesota licensed distributor from whom you purchase or intend to purchase tobacco products.
Subjobbers cannot purchase untaxed cigarettes or other tobacco products.
Manufacturers
List the names of tobacco products you manufacture. Attach additional page if necessary.
All Applicants
Check license applied for:
New Application
Renewal
Sales invoice attached
Two-year Licensing Period 2018-19
Application Made After January 1, 2019
Fee
Fee
Tobacco products distributor
$75.00
Tobacco products distributor
$37.50
Tobacco products subjobber
$20.00
Tobacco products subjobber
$10.00
I have read and understand the licensing and filing information provided. I acknowledge that by becoming licensed as a tobacco
distributor or subjobber, I will comply with record keeping/reporting requirements and responsibilities. I will report all purchases of
untaxed tobacco to the state of Minnesota. I agree to comply with the applicable tax statutes as a condition of my license, and declare
that the information given in this application is true, correct and complete to the best of my knowledge and belief.
Authorized Signature
Print Name
Title
Date
Daytime Phone
Mail to: Minnesota Revenue, Mail Station 3331, St. Paul, MN 55146-3331.
Phone: 651-556-3035 Fax: 651-556-5236 Email: cigarette.tobacco@state.mn.us
5

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Ct101 - License Application For Tobacco Products Distributors And Subjobbers Form Ct101 - License Application For Tobacco Products Distributors And Subjobbers Financial
Form Ct100 - License Application For Cigarette Distributors And Subjobbers - 2018-2019 Form Ct100 - License Application For Cigarette Distributors And Subjobbers - 2018-2019 Financial
Form Ct100 - License Application For Cigarette Distributors And Subjobbers Form Ct100 - License Application For Cigarette Distributors And Subjobbers Financial
Form Ct100 - License Application For Cigarette Distributors And Subjobbers - 2012 Form Ct100 - License Application For Cigarette Distributors And Subjobbers - 2012 Financial
Form Ct-5 - Application For Cigarette Wholesale Dealer And/or Tobacco Distributor License Form Ct-5 - Application For Cigarette Wholesale Dealer And/or Tobacco Distributor License Financial
Form Dr 0222 - Cigarette Tax/tobacco Products Distributor Application - 2003 Form Dr 0222 - Cigarette Tax/tobacco Products Distributor Application - 2003 Financial
Form Dr 0222 - Cigarette Tax/tobacco Products Distributor Application - Department Of Revenue Form Dr 0222 - Cigarette Tax/tobacco Products Distributor Application - Department Of Revenue Financial
Form Et 388md - Application For Manufacturer's & Distributor's License For Bingo And/or Raffle Equipment In Arkansas - 2008 Form Et 388md - Application For Manufacturer's & Distributor's License For Bingo And/or Raffle Equipment In Arkansas - 2008 Financial
Form Boe-501-ct Instructions - Tobacco Products Distributor Tax Return Form Boe-501-ct Instructions - Tobacco Products Distributor Tax Return Financial
Form Mf-42 - Application For Motor Vehicle Fuel And Special Fuel Distributor's License Form Mf-42 - Application For Motor Vehicle Fuel And Special Fuel Distributor's License Financial

Related Categories

Parent category: Financial
Download
Go
Page of 5