Form Ctx-R - Cigarette Tax Activity Report Page 7
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10Schedule
Cigarettes Without Joint NYS/NYC Stamps Sold, Transferred and
C
Delivered from New York City to Points Outside New York State
TM
Department of Finance
Report of Sales
(Submit with report). Include all sales, transfers, deliveries and returns to points outside the State of New York. Indicate in “Paid” Column whether New York City cigarette
taxes were paid.
1. Sold, Transferred or Returned to:
New York State
New York City
Sales
Paid Packing Packing Packing
Miscellaneous
Total
Zip
Street
Name
City
State
Cigarette License Cigarette License
Tax
Yes
Size
Size
Size
Cigarettes
Address
Code
Number
Number
ID
or No
10
20
25
Size
No.
Sold (pieces)
2. Total number of cigarettes sold, transferred or delivered (Enter on Form CTX-R, Section II, Line 5):............
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Parent category: Financial