Alaska Transfer of Cigarette Tax Stamps Form
In the State of Alaska, cigarette excise tax (pursuant to AS 43.50) must be paid using cigarette tax stamps. When filing for the income tax return, cigarette tax stamps are attached to the form. This form is for the use of individuals/parties that seek to transfer ownership of tax stamps to another individual/party.Download
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Part I - Information About The Licensee Transferring The Cigarette Tax Stamps EIN License Number(s) Period Ending (Year/Month) AK Business License Number SSN Name Phone Number Fax Number Mailing Address Contact Person Contact Telephone Number City State ZIP + 4 Contact Email Part II - Information About The Licensee Receiving The Cigarette Tax Stamps EIN License Number(s) Period Ending (Year/Month) AK Business License Number SSN Name Phone Number Fax Number Mailing Address Contact Person Contact Telephone Number City State ZIP + 4 Contact Email Part III - Transfer Of Cigarette Tax Stamps - See Instructions Number Of Cigarettes Per Stamp (a) Serial Number(S) On Stamps (b) Number Of Stamps Transferred (c) Value Of Tax Stamps (d) Total Value Of Tax Stamps Transferred (C) X (D) (e) 20 (PM) $2.00 25 (PM) $2.50 20 (NPM) $2.25 Reason For The Transfer Signature Of Licensee Transferring The Cigarette Tax Stamps Signature Of Licensee Receiving The Cigarette Tax Stamps Printed Name Printed Name Title Date Title Date Department Use Only Signature Title Date Transfer of cigarette tax stamps approved Transfer of cigarette stamps not approved Mail to: Alaska Department Of Revenue, 550 W 7th Ave STE 500, Anchorage AK 99501-3555 Alaska Transfer of Cigarette Tax Stamps 622 622 0405-622 Rev 08/12
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