Form Au-758 - Cigarette Distributor'S Annual List Of Customers (Page 2 of 2) in pdf

Form Au-758 - Cigarette Distributor'S Annual List Of Customers Page 2

Instructions

1 . Cigarette distributors must file this report on or before

4. Use the total number of customers on this report as the

August 25th of each year. List all your cigarette retail

starting number of customers for Form AU-759, Cigarette

customers from August 1 through July 31.

Distributors Monthly List of Customer Change Report .

2. All items must be legible. Enter the total number of

5. Make a copy of this report for your records.

customers in the space provided at the upper right of the

6. Late Filing Penalty: The Commissioner of Revenue

report. If you attach a computer printout, you must still

Services may impose a $50 penalty for failure to file any

enter the total number of customers and reporting period

return or report that is required by law to be filed. Checks

on this report. Your signature and title and the date you

should be made payable to:

completed this report are also required.

Commissioner of Revenue Services.

3. Enter each customer’s current Connecticut cigarette

7. If you need additional information or assistance, call the

dealer’s license number. That number appears on the

Excise/Public Services Subdivision at 860-541-3246,

customer’s Connecticut cigarette dealer’s license, which

Monday through Friday, 8:00 a.m. to 5:00 p.m.

is issued by the Department of Revenue Services.

AU-758 Back (Rev. 11/01)

Form Au-758 - Cigarette Distributor'S Annual List Of Customers Page 2