Schedule Ct301-Ms - Moist Snuff Tax

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CT301-MS
Moist Snuff Tax
Use this form to report moist snuff purchases, credits and sales during the month. 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
17
TOTAL (Use this worksheet to complete Form CT301; see instructions for Form CT301)
(Rev. 2/17)

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