Montana Form Ct-205 - Cigarette Tax Page 5
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5Schedule C – Exempted stamped cigarettes sales recap
For the month of ________________________, 20 _____
Business name _____________________________________________ License Number _________________
This is a reconciliation of all CT-206 – Cigarette Tax Exemption Certificate; all CT-206 must be attached with this form.
200 sticks
250 sticks
Total
carton
carton
sticks
Sales Invoice
Sold to
(A)
(B)
(A + B = C)
Date
ID
Business name
Phone
Enter total from previous page, if any .........................................................
Total stick of cigarettes on column C of this page.......................................................................................
Total stick of cigarettes – If this is the final page, total value on CT-205 line 19, of section 2 ...............
Page 5
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