Form Mt-203-W-T - Transfers And Wholesale Sales Of Tobacco Products
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4MT-203-W-T
New York State Department of Taxation and Finance
Transfers and Wholesale Sales of Tobacco
(11/10)
Products
Employer identification number (EIN)
Legal name
Quarterly period ending (mm/dd/yy)
(corporation, partnership, or individual name)
Read Form MT-203-W-I, Instructions for Form MT-203-W, before completing. Keep a copy of this completed form for your records.
Transfers and wholesale sales of tobacco products within New York State
Schedule 1 — Transfers and wholesale sales of cigars and tobacco products (other than little cigars and snuff) within New York State
A
B
Name and address of business located
Cigars (other than little cigars)
Other tobacco products
within New York State to whom you
EIN of customer
No. of individual
transferred and/or sold product
Pounds of tobacco
Selling price
cigars
Selling Price
A
B
C
1 Total transfers and wholesale sales from this Schedule 1
2 Total transfers and wholesale sales from additional attached sheet(s), if any
3 Total transfers and wholesale sales
(add lines 1 and 2; enter here and on
Form MT-203-W, line 4, columns A and B)
4 Total selling price from this Schedule 1
5 Total selling price from additional attached sheet(s), if any
6 Total selling price
(add lines 4 and 5)
(continued on page 2)
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Parent category: Financial