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Cigarette and Other Tobacco Products Tax Forms

Licensing & Bonding Forms for Cigarette and Other Tobacco Products

Form Number Description
Form 2175 — Fillable Cigarette / Other Tobacco Products Tax License Application (12/2007)
Form 4695 — Fillable Cigarette Tax / Other Tobacco Products Cash Bond (11/2005)
Form 213 — Fillable Cigarette Wholesaler's Fidelity Bond (12/2007)
Form 4334 — Fillable Other Tobacco Products Fidelity Bond (11/2005)
Form 2879 — Fillable Irrevocable Letter of Credit (10/2007)
Form 4732 — Fillable Registration Change Request (05/2007)

Cigarette Tax Monthly Reporting Forms

Form Number Description
Form 265-20 — Fillable Consolidated Monthly Cigarette Tax Report (20s only) (11/2007)
Form 265-25 — Fillable Consolidated Monthly Cigarette Tax Report (25s only) (11/2007)
Form 4426-20 — Fillable Out of State Missouri Cigarette Wholesaler Monthly Cigarette Tax Report (20s only) (12/2007)
Form 4426-25 — Fillable Out of State Missouri Cigarette Wholesaler Monthly Cigarette Tax Report (25s only) (12/2007)
Form 266 — Fillable Schedule A — Cigarette Receipts (11/2007)
Schedule F — Fillable Summary of all Missouri Stamped Cigarettes Sold to Missouri Retailers/Consumers (11/2007)
Schedule F-1 — Fillable Missouri Stamped Cigarettes Sold to Missouri Retailers/Consumers Subject to City/County Tax (11/2007)
Schedule F-2 — Fillable Missouri Stamped Cigarettes Sold to Missouri Retailers /Consumers Not Subject to City/County Tax (11/2007)
Form 304 — Fillable Cigarette Tax Stamp Record — Schedule C (11/2006)
Form 783 — Fillable Export of Stamped Cigarettes Report — Schedule E (11/2007)
Form 4790 — Fillable United States Importers Cigarette Sales to Missouri Wholesalers Monthly Tax Report (11/2007)
Form 267 — Fillable Common Carrier Monthly Report Cigarette Tax (11/2007)
Form 4916 — Fillable Wholesalers Monthly Report of Cigarettes and Roll-Your-Own Tobacco (04/2008)
Form 4405 — Fillable Cigarette Decal Purchase Order Form (11/2007)
Form 4592 — Fillable Request for Cigarette Tax Records (03/2008)
Form 5067 — Fillable Consumer Payment Voucher — Cigarette/Other OTP (11/2007)

Other Tobacco Products Monthly Reporting Forms

Form Number Description
Form 4387 — Fillable Tobacco Products Tax - Other Than Cigarettes (11/2007)
Form 4357 — Fillable Other Tobacco Products Tax Exemption Certificate (11/2006)
Form 4388 — Fillable Tobacco Products Other Than Cigarettes New Inventory — Schedule A (11/2006)
Form 4389 — Fillable Tobacco Products Other Than Cigarettes Customer Returns to Inventory — Schedule B (11/2006)
Form 4390 — Fillable Tobacco Products Other Than Cigarettes Export Sales - Schedule C (10/2007)
Form 4341 — Fillable Other Tobacco Products Summary First Sale Retailers Monthly Report of Purchases (11/2007)
Form 4343 — Fillable Other Tobacco Products Receipts Schedule (11/2007)
Form 4791 — Fillable Tobacco Products Other Than Cigarettes Tax Paid Purchases from Missouri Licensed Wholesalers — Schedule F (11/2007)
Form 4795 — Fillable Tobacco Products Other than Cigarettes Export Sales — Schedule A (04/2007)
Form 4342 — Fillable Other Tobacco Products Monthly Report - Out of State Wholesalers Selling into Missouri (11/2007)