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NOTICE:  Please disregard any copies of the instructions for the 2014 Form 322 that you obtained prior to December 16, 2014 because they incorrectly referenced contributions made or fees paid to a public school during the period January 1, 2015 to April 15, 2015.   Contributions made or fees paid to a public school after December 31, 2014 will not qualify for a credit on the 2014 tax return.

Tobacco Forms

Form NumberForm NameGet FormGet InstructionsPosted
10428License Application for Distributors of Tobacco ProductsDownload Form 8/12/2014
11134PACT Act StatementDownload Form  
811Revenue Stamp TransactionDownload Form 12/31/2014
840Cigarette Distributor's Claim for Refund of Cigarette Taxes PaidDownload Form 9/18/2014
840-ACigarette Distributor's Affidavit for Rebate of Cigarette Taxes PaidDownload Form 9/18/2014
840-BDistributor’s Affidavit for Rebate of Taxes Paid for Other Tobacco ProductsDownload Form 9/18/2014
840-CAffidavit for Refund of Taxes Paid for the Returns by a Distributor of Other Tobacco ProductsDownload Form 9/18/2014
841Cigarette Distributor's Report of Cigarettes Received in Packages Other Than 20s or 25sDownload Form  
845-CIGRetailer’s Report of Cigarettes Sold Download Form  
845-OTPRetailer’s Report of Other Tobacco Products SoldDownload Form