Form Rev 82 2085 - Cigarette Floor Stock Tax Return
ADVERTISEMENT
1State of Washington
05
Cigarette Floor Stock
Department of Revenue
Special Programs Division
Tax Return
10
PO Box 47464
Olympia, WA 98504-7464
Tax Registration Number
Name
Business Name
Street Address
City, State, Zip
Instructions
1.
Based
on your cigarette inventory as of midnight, April 30, 2010, enter the number of packs of stamped cigarettes and/
or unaffixed stamps in stock on lines 1 through 5.
2.
If paying
for more than one location, list all locations and their inventory on a separate sheet and attach to this return. Please
enter the sum of all locations on this original return.
3.
Multi
ply the inventory number by the increased tax amount and enter the result in the right hand column.
4.
Ad
d lines 1-5 and enter the sum on line 6.
5.
Thi
s return is due by June 1, 2010. If you are filing the return after this date, you owe a penalty. See penalty information
below. Enter penalty on line 7.
6.
Ad
d lines 6 and 7 and enter that amount on line 8. Make check or money order payable to the Washington State Department
of Revenue. Include your tax registration number on your check. Mail this form with your payment to the address listed above.
Do not mail with you excise tax return as processing errors may occur.
7. f you have any questions, please contact the Department of Revenue’s Telephone Information Center at 1-800-647-7706.
I
8.
Impor
tant: This return is subject to future audit by the Department of Revenue. Please keep a copy of your cigarette
inventory records.
If the tax due is not received on or before June 1, 2010 penalty is assessed as follows:
5% after June 1, 2010
15% after June 30, 2010
25% after July 31, 2010
Minimum Penalty Amount is $5.00
Record Results of Inventories Below (Shown in packages, not cartons)
1. Number of packages containing 1 cigarette
x $ .05=
$
x $ 1.00=
$
2. Number of packages containing 20 cigarettes
x $ 1.25=
$
3. Number of packages containing 25 cigarettes
Distributors Only
x $ 1.00=
$
4. Number of unaffixed fuson stamps for packs of 20 cigarettes
Distributors Only
x $ 1.25=
$
5. Number of unaffixed fuson stamps for packs of 25 cigarettes
6. Total Tax Due (add lines 1-5) ......................................................................................................
$
Signature:
7. Penalty
$
Phone No:
Date:
8. This Amount Owed
$
Name & Address of Firm (if changed):
This Return is Due June 1, 2010
For tax assistance visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an alternate format for the
visually impaired, please call (360) 705-6715. Teletype (TTY) users may call 1-800-451-7985.
Please RETURN THIS ORIGINAL COPY to the Department of Revenue in the enclosed envelope.
REV 82 2085 (4/14/10)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial