Form Otp-Schedule 2 - Intrastate Sales
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OTP-Schedule 2
OTP-Schedule 2
Intrastate Sales
(12-11)
(Indiana To Indiana)
Name Of Company
License Number
Month And Year Of Return
Provide the license number of the distributor if you transacted business with a licensed Indiana distributor.
Sold to Company Name
Federal
License
Street
City
State
Wholesale
# of
Identifi cation
Number
Price
Ounces
Number
Total Tobacco Products Wholesale Price
Total Moist Snuff Ounces
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Parent category: Financial