Schedule Ct301-Ms - Moist Snuff Tax
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1
2CT301-MS
Moist Snuff Tax
Use this form to report moist snuff purchases, credits and sales during the month and attach it to your Form CT301. Be sure to include invoice numbers (not bill-of-lading or standing order numbers).
Do not include non-tobacco products such as pipes, cleaners, papers, lighters or cigarettes. Complete a separate schedule for each schedule type. Read the instructions on page 2 before you complete
this schedule.
Licensee
Address
Minnesota Tax ID Number
Period of Return (mo/yr)
Schedule Type:
1 - Taxable Purchases/Sales
2 - Credits
3 - Out-of-State Sales
(Check one)
Column A
Column B
Column C
Column D
Column E
Number of
Total Wholesale
Tax Based on
Tax Based on Single
TAX DUE
Invoice
Purchased From or Sold To:
Containers
Sales Price
Wholesale Sales Price
Container
(Enter greater of
on Moist Snuff
(Column B x 95%)
(Column A x $3.04)
Column C or Column D)
Date
Number
Name
Address
State
Enter total from previous page, if any
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
TOTAL (Use this worksheet to complete Form CT301; see instructions for Form CT301)
17
(Rev. 7/17)
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