Form Tt-18 - Virginia Department Of Taxation Monthly Report Of Cigarette Manufacturer

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FORM TT-18
For assistance, call
VIRGINIA DEPARTMENT OF TAXATION
(804) 371-0730, or
MONTHLY REPORT OF CIGARETTE MANUFACTURER
Mail:
P.O. Box 715
Richmond, VA 23218-0715
Month _____ Year ______
Page___ of___
Legal Name:
Trading As:
Address:
(Street)
(City)
(State)
(ZIP)
(Country)
FED. ID#
Contact Person:
Phone
E-mail
Check One:
Participating Manufacturer
Non-Participating Manufacturer
This report must be filed by the 10th of each month for the preceding month. This information should be subtotaled by brand
name and purchaser.
Total Packs Sold
Purchaser’s Name And Address
Brand Name
Directly to Virginia
Purchaser
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total Cigarette Packs Sold Directly to Virginia Purchasers
I hereby declare that this report and the attachment(s) are true and correct.
Name of person signing return (please print):
Signature:
Title:
Date:
If the manufacturer is a corporation, an officer of the corporation authorized to sign on behalf of the corporation must sign;
if a partnership, one partner must sign; if a sole proprietorship, the proprietor must sign.
Va. Dept. of Taxation TT-18 6201095 11/05

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