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Cigarettes Returned To Manufacturer With Tax Stamps Affixed To Original Packages CT-13 - Indiana
| Cigarettes Returned To Manufacturer With Tax Stamps Affixed To Original Packages Form. This is a Indiana form and can be used in Cigarette Department Of Revenue Statewide . |
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INDIANA DEPARTMENT OF REVENUE CIGARETTES RETURNED TO MANUFACTURER WITH TAX STAMPS AFFIXED TO ORIGINAL PACKAGES CT - 13 SF 46858 Rev. 5-97 SHEET NO. ___________ Distributor's Name _____________________________________________ Distributor's License # ___________ Period of _________________ , ______ MANUFACTURER AFFIDAVIT # DATE NO.OF PKGS RETURNED PACKAGE SIZE NO. OF CIGARETTES STATE TAX AFFIXED DATE RETURNED INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA INDIANA TOTAL INDIANA STAMPED CIGARETTES RETURNED TO MANUFACTURER TOTAL ________________ STAMPED CIGARETTES RETURNED TO MANUFACTURER TOTAL ________________ STAMPED CIGARETTES RETURNED TO MANUFACTURER OUT-OF-STATE DISTRIBUTORS: Total the Indiana stamped cigarettes returned to manufacturer -- Report this total on CT-24, Line 4. IN-STATE DISTRIBUTORS: Total the other states stamped cigarettes returned to manufacturer -- Report this total on CT-5, Line 5. Show states separately. American LegalNet, Inc. www.FormsWorkflow.com
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