MARYLAND FORM 610C CHECK ONE: 2017 OTHER TOBACCO PRODUCTS (OTP) TAX RETURN - SCHEDULE C OTP TAX CREDIT - OUT OF STATE SALES RETAILER TOBACCONIST Legal Name FEIN Office Use Only Check Number___________ Trade Name Amount $______________ Deposit Date____________ Street Address For Calendar Quarter: City State January - March ZIP code April - June Central Registration Number (CR#) July - September October - December Completed by OTP Retailer and OTP Tobacconist 1a. Total net invoice amount for all untaxed "premium cigars" reported on line 1a of the OTP tax return, Form 610, that was sold out-of-state during the reporting quarter. . . . . . . . . . . . . . 1a.______________________ b. OTP tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.______________________ x 0.15 $ c. Maryland OTP credit (multiply line 1a by line 1b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c.______________________ 2a. Total net invoice amount for all untaxed "pipe tobacco" reported on line 2aof the OTP tax return, Form 610, that was sold out-of-state during the reporting quarter. . . . . . . . . . . . . . 2a.______________________ x 0.30 b. OTP tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.______________________ $ c. Maryland OTP credit (multiply line 2a by line 2b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c.______________________ $ 3. Total Maryland OTP credit (add lines 1c and 2c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.______________________ Completed by OTP Tobacconist Only 4a. Total net invoice amount for all untaxed cigars (other than premium cigars) reported on line 4a of the OTP tax return, Form 610, that was sold out-of-state during the reporting quarter. . 4a.______________________ b. OTP tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.______________________ x 0.70 $ c. Maryland OTP credit (multiply lines 4a by 4b). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c.______________________ 5a. Total net invoice amount for all untaxed "other tobacco products" (OTP) reported on line 5a of the OTP tax return, Form 610, that was sold out-of-state during the reporting quarter. . . 5a.______________________ x 0.30 b. OTP tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b.______________________ $ c. OTP Tax due (multiply lines 5a by 5b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c.______________________ $ 6. Total Maryland OTP credit (add lines 4c and 5c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.______________________ Completed by OTP Retailer or Tobacconist $ 7. Total Maryland OTP credit (add lines 3 and 6). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7.______________________ nter total amount of the Maryland OTP credit on line 7 on the OTP tax return, Form 610, line 7. Please attach a report E with the following information about out-of-state sales: date of sale, invoice number, to whom sold, and invoice amount. Affidavit I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true, correct and complete to the best of my knowledge, information and belief. Print name Signature COM/RAD-610-301/17 Title (Owner, Partner or Officer) Date MARYLAND FORM 610C 2017 OTHER TOBACCO PRODUCTS (OTP) TAX RETURN - SCHEDULE C OTP TAX CREDIT - OUT OF STATE SALES Who must file this Form 610C? OTP RETAILER - An OTP retailer who reports purchases of “pipe tobacco” or “premium cigars” on Line 1a or 2a of its Maryland OTP tax return, Form 610 and for which an OTP tax credit is claimed, because the pipe tobacco or premium cigars were sold out-of-state. OTP TOBACCONIST - An OTP tobacconist who reports purchases of OTP on Line 4a or 5a of its Maryland untaxed OTP tax return, Form 610 and for which an OTP tax credit is claimed, because the OTP was sold out-of-state. This schedule must be completed and submitted with your Maryland OTP tax return, Form 610, for any report period in which an OTP tax credit is claimed Enter your legal name, report period, type of license, and license number on the lines provided. Instructions for completion: Line 1a, 2a OTP RETAILER - Provide the total net invoice amount for all untaxed “pipe tobacco” and “premium cigars” reported on Lines 1a and 2a of the OTP tax return (Form 610) that was sold out-of-state during the report quarter 4a, 5a OTP TOBACCONIST - Provide the net total invoice amount for all untaxed OTP reported on Lines 4a and 5a of the OTP tax return (Form 610) that was sold out-ofstate during the report quarter 1b, 2b, The applicable OTP tax rate. 4b, 5b 1c, 2c Multiply the total net invoice amount of untaxed “pipe tobacco” and “premium cigar” by the applicable tax rate. Enter this amount on Line 3. 3 Add Lines 1c and 3c. COM/RAD-610-3 01/17 page 2 4c, 5c Multiply the total net invoice amount of untaxed OTP by the applicable tax rate. Enter this amount on Line 6. 6 Add Lines 4c and 5c. 7 Add lines 3 and 6. Enter this amount on line 7 of the OTP tax return, Form 610. For more information: Comptroller of Maryland Revenue Administration Division P O Box 2999 Annapolis, MD 21404-2999 Telephone: 410-260-6381, 800-638-2937 Fax: 410-260-7924 www.marylandtaxes.com
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