Fillable Printable Form 266 - Missouri Department Of Revenue

Form 266 - Missouri Department Of Revenue

Form

266

Missouri Department of Revenue

Schedule A — Cigarette Receipts From Manufacturers or Importers

Wholesaler

Month of , 20______ Page of

Date

Received

(MM/DD/YYYY)

Invoice

Number

Manufacturer

Brand and Style

UPC

Number of Packs

Purchased From Whom If

Not From Manufacturer

Subtotal — Promotional cigarettes received (this page)

Total — Promotional cigarettes received (all pages)

List all shipments received during the calendar month.

Select the type of packs you will report on this schedule — One type per schedule.

r Twenty Packs r Twenty-five Packs

Subtotal — Cigarettes purchased (this page)

Total Cigarettes — Purchased (all pages)

Promotional cigarettes received from manufacturers

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Mail to: Taxation Division Phone: (573) 751-7163

P.O. Box 811 TTY: (800) 735-2966

Jefferson City, MO 65105-0811 Fax: (573) 522-1722

Visit http://dor.mo.gov/business/tobacco/ for additional information.

Form 266 (Revised 10-2014)

Shipments

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