Form Tb-31 - Sales Of Non-Participating Manufacturer (Npm) Roll-Your-Own (Ryo) Tobacco In Kansas By Out-Of-State Distributors

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KANSAS DEPARTMENT OF REVENUE
MISCELLANEOUS TAX
915 SW HARRISON ST.
TOPEKA, KANSAS 66612-1588
Website:
Email: miscellaneous.tax@kdor.ks.gov
Phone: (785) 368-8222
Fax: (785) 296-4993
SALES OF NON-PARTICIPATING MANUFACTURER (NPM)
ROLL-YOUR-OWN (RYO) TOBACCO IN KANSAS BY OUT-OF-STATE DISTRIBUTORS
SCHEDULE MSA-RYO-2
…
…
Check One:
Original Report
Amended Report
Business Name
____________________________________________________________
License Number ______________________________
Address
__________________________________________________________________
Filing Month/Year _____________________________
A
B
C
D
E
From Whom Brand was Purchased
First Importer of Foreign
Non-Participating Manufacturer
NPM RYO
Ounces of NPM RYO
(If Different from Manufacturer)
Manufactured Brands
Brand Family Name
Sold in Kansas
Full Name & Address
Full Name & Address
Full Name & Address
Visit for a current list of manufacturers and brands certified for sale in Kansas.
…
I certify that my business did not sell NPM RYO in Kansas during the filing month (Check if applicable).
I declare under penalty of perjury under the laws of the state of Kansas that the foregoing is true and correct.
Signature ________________________________________________________
Executed on (Date) ________________________
Print Name & Title _________________________________________________
Page ______ of ______ (Use additional schedules if necessary)
TB-31
(Rev. 2-16)

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