TT-101: Wisconsin Tobacco Products Tax Multiple Schedule
Page
of
Attach this schedule to Form TT-100
Legal Name
Tax Account Number
Month/Year (MM YYYY)
Type of schedule
1. Untaxed Purchases
3. Untaxed Credits
5. Untaxed Sales
(check one)
2. Tax-Paid Purchases
4. Tax-Paid Credits
6. Tax-Paid Sales
ROLL-YOUR-OWN (RYO) TOBACCO PRODUCTS
(See reverse side for definition of “roll-your-own”)
Column A
Column B
Column C
Invoice
Purchased From or Sold To
Line
Manufacturer’s List Price
Total Ounces
Manufacturer
Brand Name
No.
Date
Number
Name
State
(per brand)
Balance brought forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Balance brought forward . . . . . . . . . .
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Page Totals – provide a grand total on the last page of each schedule . . .
20
Do NOT transfer to TT-100 . . TOTAL
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TT-101 (R. 12-13)
Wisconsin Department of Revenue