Form Rpd-41158 - Purchase Order For New Mexico Cigarette Stamps - Taxation And Revenue Department

ADVERTISEMENT

RPD-41158
State of New Mexico - Taxation and Revenue Department
Rev. 07/2004
PURCHASE ORDER FOR NEW MEXICO CIGARETTE STAMPS
Who Must File This Form: Persons who are required to affix New Mexico cigarette stamps according to 7-12-5(C) NMSA 1978 to
packages or containers of cigarettes must use this form to order and purchase New Mexico cigarette stamps.
Filing Instructions: Complete all information requested on Form RPD-41158, Purchase Order For New Mexico Cigarette Stamps.
Indicate the method of payment. If enclosing payment, make the check or money order payable to the Taxation and Revenue
Department and mail to New Mexico Taxation and Revenue Department , Cigarette Tax Unit, P.O. Box 25123, Santa Fe, NM 87504-
5123. If ordering by fax, fax to (505) 827-1759. For assistance contact (505) 827-6842.
Name and address of purchaser
Federal employer identification number or
social security number
New Mexico CRS identification number
Name of person to contact
Telephone number
Authorized signature of purchaser
E-mail address
Discount
Quantity of stamps
(from worksheet)
Stamp denomination
requested
Face value
Net value
20's Stamps
Multiply the quantity of
stamps ordered by $0.91.
One stamp provides proof that
tax has been paid for a
package or container of 20
cigarettes.
(30,000 stamps per roll)
Multiply the quantity of
25's Stamps
stamps ordered by
One stamp provides proof that
$1.1375.
tax has been paid for a
package or container of 25
cigarettes.
(7,200 stamps per roll)
Indicate method of payment:
Indicate method of shipment:
$
Payment is enclosed
UPS
Ground
PAY THIS AMOUNT
Charge sale*
Airborne
1-Day
All charge sales must be paid
by the 25th day of the month
2-Day
following the month in which the
*Requires pre-approval (bond)
cigarette stamp purchase was
Shipper Number __________________
made.
CIGARETTE STAMP SALE DISCOUNT WORKSHEET
Note: if the face value of stamps sold in a single sale is less than $1,000, no discount is allowed.
Face value
Rate
Discount
For the first $30,000 (face value) in cigarette stamps purchased in one calendar
$
X 4% =
month, 4% of the face value of the cigarette stamp purchases.
For the second $30,000 (face value) in cigarette stamps purchased in one
$
X 3% =
calendar month, 3% of the face value of the cigarette stamp purchases.
For cigarette stamps purchased in one calandar month exceeding $60,000 in
$
X 2% =
face value, 2% of the face value of the cigarette stamp purchases.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go