Form 522 - Cigarette And Tobacco Products Monthly Tax Return Page 8
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8522
Schedule J
Alaska Cigarette Tax Stamp Credits
Federal ID
License Number
Name of Licensee
Period Ending (yyyymm)
This is a supporting schedule for Alaska Cigarette and Tobacco Products Monthly Tax Return, Form 522. Use this form to claim a credit
for unused cigarette tax stamps returned to the Tax Division and for cigarette tax stamps affixed to packages of cigarettes returned to the
manufacturer, sold to customers outside of Alaska or destroyed. A credit will not be given unless the required documentation is attached
to the schedule.
Part I - Credit for unused cigarette tax stamps returned to Tax Division.
Stamps must be received by the Tax Division before a credit will be given (see instructions).
# of stamps
Stamp
Value of stamps
Stamp serial #s
denomination
returned
Stamp value
Stamp color
returned
(required)
(A)
(B)
(C)
(description)
(multiply B x C)
20
$1.80
blue
1
25
$2.25
gray
2
20
$2.05
tan (NPM cigs)
3
20
$2.00
white
4
25
$2.50
brown
5
20
$2.25
yellow (NPM cigs)
6
Credit for stamps returned to or destroyed by the Tax Division. Add lines 1 through 6 and enter here
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Part II - Credit for stamped cigarettes returned to manufacturer, destroyed or restamped.
Attach certification from the manufacturer for returned cigarettes or other preapproved documentation attesting to the destruction
(see instructions).
# of packages
Stamp
Value of stamps
Stamp serial #s
denomination
returned
Stamp value
Stamp color
returned/destroyed
(required)
(A)
(B)
(C)
(description)
(multiply B x C)
20
$1.80
blue
8
25
$2.25
gray
9
20
$2.05
tan (NPM cigs)
10
20
$2.00
white
11
25
$2.50
brown
12
20
$2.25
yellow (NPM cigs)
13
Credit for stamped cigarettes returned to manufacturer, destroyed or restamped. Add lines 8 through 13
14
and enter here
Part II - Credit for stamped cigarettes exported outside of Alaska for sale
Complete schedule C for each state where cigarettes were sold.
# of packages
Stamp
Value of stamps
Stamp serial #s
denomination
exported
Stamp Value
Stamp color
exported
(required)
(A)
(B)
(C)
(description)
(multiply B x C)
20
$1.80
blue
15
25
$2.25
gray
16
20
$2.05
tan (NPM cigs)
17
20
$2.00
white
18
25
$2.50
brown
19
20
$2.25
yellow (NPM cigs)
20
Credit for stamped cigarettes exported outside of Alaska for sale. Add lines 15 through 20 and enter here
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Part IV - Total credit for cigarette tax stamps returned, destroyed or exported outside Alaska. Add the amounts
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on lines 7, 14 and 21. Enter here and on line 3 of Schedule A and line 2 of Schedule H or I
522
0405-522 Rev 09/12 - page 8
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