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Additional Information Regarding Cigarette Brands Sold In New York CG-30.1-X - New York
| Additional Information Regarding Cigarette Brands Sold In New York Form. This is a New York form and can be used in Dept Of Taxation And Finance Statewide . |
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New York State Department of Taxation and Finance Additional Information Regarding Cigarette Brands Sold in New York CG-30.1-X (5/06) You must have previously filed Form CG-30, Certification of Tobacco Master Settlement Agreement Status, with the Tax Department and Attorney General to be eligible to use this form. Attach additional sheets if necessary. Legal name Date Federal employer identification number (FEIN) As required by the New York State Tax Law section 480-b, every tobacco product manufacturer must annually file Form CG-30, Certification of Tobacco Master Settlement Agreement Status, and list each cigarette brand sold for consumption in New York State from January 1 of the prior calendar year until the date of this annual certification. If you intend to add brands after the date the current annual certification was filed, you must complete and file Form CG-30.1-X and an amended Form CG-30 before making the first sale of these brands in New York State. Also submit a copy of Form CG-30 and Form CG-30.1, Information Regarding Brands Sold in New York, which you previously submitted for this current certification period. The following is a list of additional brands to be sold for consumption in New York State by Name of manufacturer Page Additional brand names to be sold for consumption in New York State * of Date of intended first sale in New York State * Be sure the complete brand names of the cigarettes are listed, including the following (attach additional sheets if necessary): · filtered or unfiltered · descriptive information such as menthol or slim · size (for example, regular, king, 100's, etc.) · other information as necessary to identify the product Note: You must attach this Form CG-30.1-X to the amended Form CG-30 along with copies of the original Form CG-30 and Form CG-30.1 on file with the Tax Department and Attorney General for the current certification period. I certify that I have filed Form CG-30 and Form CG-30.1 and that the above list represents additional brands to be sold for consumption in New York State from the date(s) specified. Authorized signature Title Printed name Date American LegalNet, Inc. www.FormsWorkflow.com
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