Vermont Department of Taxes
PO Box 547
Montpelier, VT 05601-0547
Phone: (802) 828-2551
CIGARETTE AND TOBACCO PRODUCTS RETAILERS
F
2011
orm
CT-10R
VT FLOOR STOCK TAX RETURN
V
ermont
DUE DATE: July 25, 2011
THIS RETURN MUST BE FILED EVEN IF NO TAX IS DUE.
Complete only one return for each business entity.
Contact Person
Telephone Number
d/b/a or Trade Name
Address
City, State, ZIP Code
List VT Business Account Number for EACH Retail Location below. Attach additional sheet if necessary.
Total Number of
Retail Locations
Part I
CIGARETTES AND LITTLE CIGARS in stock as of July 1, 2011
(If you have “0” stock, enter “0” on Line 7 and go to Part II. Otherwise, complete Lines 1-8.)
Cigarettes in stock as of July 1, 2011
1a. Packs of 20 _______________
x 20 =
1b. __________________
2a. Packs of 25 _______________
x 25 =
2b. __________________
3. Total Cigarettes in Stock (Add Lines 1b and 2b). . . . . . . . . . . . . . . . . . . . . . 3.
Little Cigars in stock as of July 1, 2011
4a. Packs of 20 _______________
x 20 =
4b. __________________
5. Packs other than 20 (enter total number of sticks). 5. __________________
6. Total little cigars (Add Lines 4b and 5). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.
Total Cigarettes and Little Cigars
7. Total sticks (Add Lines 3 and 6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.
8. Total floor stock tax due on cigarettes and little cigars.
If Line 7 is 10,000 or less, enter “0”
If Line 7 is 10,001 or more, multiply Line 7 by $0.019 . . . . . . . . . . . . . . . . 8.
FORM CT-10R
FS
(Rev. 6/11)