Form Otp-Schedule 3 - Other Tobacco Products

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Form
OTP-Schedule 3
OTP-Schedule 3
Other Tobacco Products
(12-11)
Bad Debt
Name Of Company
License Number
Month And Year Of Return
Tax Rates
Tax Type
Prior to Jan. 1, 2012
On or After
Jan. 1, 2012
Tobacco Products
24% of wholesale cost
24% of wholesale cost
Moist Snuff
$0.40 per ounce
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
(J)
(K)
(L)
(M)
Federal
Date Written Off
Amount Of
Federal
Invoice
Invoice
Month/
Invoice
Invoice
Wholesale
Number Of
Tax Rate As
UncollectibleTax
Identifi cation
As Uncollectible
Uncollectible
Identifi cation
Number
Date
Year Tax
Number
Date
Price
Ounces
Of Date In
Number
Number
Was Paid
Column G
On Monthly
Tobacco
Moist Nuff
Return
Products
Total Deductions (Carry these totals to lines 7a & 7b of the monthly return)

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