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Michigan Department of Treasury
2382 (Rev. 9-04)
Issued under authority of P.A. 327 of 1993, as
amended. Filing is mandatory if you filed a Michigan
Michigan Multiple Tobacco Products Tax Schedule
Tobacco Products Tax Return (Form 322).
Includes Cigarettes and Other Tobacco Products (OTP)
Name of Licensee
FE, ME, or TR Number
Month of Return
Year
4
MULTIPLE RECEIPT/DEDUCTION SCHEDULE. Check only one (1) of the following categories. Complete a separate form
for each schedule. Carry the total to the line indicated below on your Michigan Tobacco Products Tax Return.
Schedule A - Report of All Tobacco Products acquired by wholesalers or imported by unclassified acquirers (Line 2)
Schedule B - Sales to U.S. Agencies (Line 6)
Schedule C(R) - Unsalable Returns to out-state manufacturers (must be filed in duplicate) (enter on Line 4)
Schedule C(T) - Transfers from Michigan into other states (ex: sales, shipments, transfers or salable returns to distributors)
(file in duplicate) (enter on Line 5)
Schedule D - Tax paid sales to other licensees (Line 24)
Schedule F - Imports into Michigan by a licensed wholesaler (Line 2)
Schedule G - Tax-paid purchases from other wholesalers (Line 23)
Schedule H - Untaxed cigarettes or other tobacco products sold to Michigan licensed wholesalers (Line 8 - see instructions on
page 2.)
a.
b.
c.
d.
e.
Invoice
Invoice
Name & Address of person the Tobacco Products were
Number of Cigarettes
Wholesale Price of OTP
Date
Number
purchased from, shipped, sold or transferred to
(Not packs, cartons or cases)
Purchases/Imports
TOTAL
IMPORTANT: Carry totals forward from this schedule to Form 322, Michigan Tobacco Products Tax Return.