Form 23503 - Schedule Cd - Out-Of-State Cigarette Sales Page 2

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Schedule CD Instructions
General Information
You must complete a separate schedule for each state to which you shipped or sold cigarettes.
You must fi le two copies of this schedule.
Specifi c Instructions
Column 1 - Write the date you shipped cigarettes out-of-state.
Column 2 - Indicate how the cigarettes were shipped: DT, distributor truck; CC, common carrier; PP, parcel post; CT, customer truck
Column 3 - Write the invoice number of the products you shipped into another state.
Column 4 - Write the name, address, and city of the company or person to whom you shipped or sold cigarettes.
Column 5 - Write the number of packages containing 20 cigarettes that you shipped or sold.
Column 6 - Write the number of packages containing 25 cigarettes that you shipped or sold.
Column 7 - Write the number of packages containing cigarettes in quantities other than 20 or 25 that you shipped or sold.
Column 8 - Write the total number of cigarette sticks per invoice.
Column 9 - Indicate whether or not tax was paid on the cigarettes that you shipped or transferred.
Sales and Special Taxes Division - 600 E. Boulevard Ave., Dept. 127 - Bismarck, ND 58505-0599
Phone (701)328-3470
Hearing/speech impaired TTY users may call us through Relay North Dakota at 1-800-366-6888
Web site:

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