Form Otp-E - Nonresident Distributor Tobacco Products Sold To Delaware Customers

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STATE OF DELAWARE
SCHEDULE OTP-E
MONTH OF __________________________, 20___
DIVISION OF REVENUE
NONRESIDENT DISTRIBUTOR
820 NORTH FRENCH ST.
TOBACCO PRODUCTS SOLD TO DELAWARE CUSTOMERS
P.O. BOX 8911
WILMINGTON, DE 19899-8911
NAME: _________________________________________
EMPLOYER IDENTIFICATION NUMBER: _____________________________________
DATE
INVOICE
INVOICE
NAME & ADDRESS OF DELAWARE CUSTOMER
WHOLESALE PRICE
SHIPPED
NUMBER
DATE
TOTAL $

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Parent category: Financial
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