Form Tt-13 - Virginia Monthly Report Of Cigarette Stamping Agent Page 6
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8SCHEDULE D
Stamping Agent’s Monthly Report of Virginia Stamped Cigarettes
(TT-13)
List all cigarettes stamped with a Virginia Cigarette Revenue Stamp for the report month.
Name____________________________________________________
Month/Year _________________________
A
B
C
D
From Whom Each Pack of Cigarettes Was Purchased
Pack Size
Number of
Brand Family/Name
Packs Stamped
Name
Address
20
25
Total Packs (Enter on TT-13, Lines 6 and 12)
Virginia Dept of Taxation
TT-13
Rev 11/08
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