Form Tt-12 - Virginia Application For Tobacco Tax Credit Certificate
Download a blank fillable Form Tt-12 - Virginia Application For Tobacco Tax Credit Certificate in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tt-12 - Virginia Application For Tobacco Tax Credit Certificate with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3Form TT-12 Virginia Application For Tobacco Tax Credit Certificate
Virginia Department of Taxation
P.O. Box 1301
Richmond, VA 23218-1301
•
Please print or type all information below.
•
If applying for a Bad Debt Credit, also complete and attach Schedule A.
Stamping Agent Name
Permit Number
(Do Not Use This Space)
Number and Street
City
State
ZIP Code
Contact Person
Phone Number
(
)
The above named stamping agent hereby makes application to the Department of Taxation for a tobacco tax credit certificate
for the reason or reasons and in the amount stated below:
Number Of
Tax Value
Reason
Gross Tax Value
Stamps
Each Stamp
1. Stamps Applied on Carton Flaps
2. Unusable Stamps on Defective Rolls
3. Usable Stamps on Unopened Rolls
4. Stamps On Unsalable Tobacco Products Returned to
Manufacturer: Attach Cigarette Manufacturer Affidavit
.
NOTE: You may consolidate multiple affidavits on this application
5. Other (Specify)
6. Bad Debt Credit (Attach a Schedule A for each bad debt credit application.)
7. Total (Add Lines 1 through 6.)
$
8. Less 2% Discount:
$
9. Net Amount of This Application For Credit Certificate (Line 7 minus Line 8.)
$
I certify that this application is true and accurate.
Name of Stamping Agent:
Date:
By (Authorized Signature):
Title:
VA Form TT-12 W
Rev. 8/06
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial