Form 2146 - South Dakota Yankton Sioux Tribe Monthly Cigarette Sales Report

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SD EForm - 2146
V1
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Complete and use the button at the end to print for mailing.
YANKTON SIOUX TRIBE
MONTHLY CIGARETTE SALES REPORT
Mail to: Department of Revenue, Special Tax Division, 445 E Capitol Ave Pierre, SD 57501-3100
Cigarettes sold in the month of _______________________________, 20_____
Licensed tobacco distributors are required to file a monthly report of the number of cigarette packs
sold to retail locations listed below.
The report shall show the number of cigarette packs sold to the following retailers:
Number of 20 cigarette packs
Number of 25 cigarette packs
Fort Randall Casino, Pickstown
Yankton Sioux Travel Plaza,
Pickstown
TOTAL NUMBER:
0
0
I, the undersigned, certify that this return is an accurate and true report of all packs of cigarettes sold
during the month indicated above.
Signed:________________________________________
Title:__________________________________________
Company:______________________________________
Address:_______________________________________
NOTE: This report is due prior to the 10th of each month listing all sales for the previous month and mailed to the address listed above.
1.
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