Form CIG57 "Ohio Cigarette Consumer's Use Tax" - Ohio

What Is Form CIG57?

This is a legal form that was released by the Ohio Department of Taxation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the Ohio Department of Taxation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CIG57 by clicking the link below or browse more documents and templates provided by the Ohio Department of Taxation.

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Download Form CIG57 "Ohio Cigarette Consumer's Use Tax" - Ohio

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CIG 57
Rev. 7/15
Reset Form
P.O. Box 530
Columbus, OH 43216-0530
Ohio Cigarette Consumer’s Use Tax
Reporting Period
Ohio Revised Code (R.C.) section 5743.32 provides
that every person who has acquired cigarettes for
use, storage or other consumption in this state shall,
For the month of
, 20
on or before the 15th day of the month following
receipt of such cigarettes, make and file with the tax
Name
commissioner a return showing the amount of ciga-
rettes acquired, together with remittance of the tax
Address
thereon; provided that the tax levied in R.C. section
5743.02 and 5743.024 has not been paid.
City
State
ZIP
Instructions
Line 1 – This line should include cigarettes (sticks) shipped into all areas of Ohio except Cuyahoga County reported on the
schedule (see reverse side for the schedule to be completed and for a listing of municipalities in Cuyahoga County).
All lines on the return must be completed.
Line 2 – This is the Ohio tax rate.
Line 3 – Multiply line 1 by line 2. This is the tax due on the cigarettes (sticks) shown on line 1. (Ex. 1 carton = 200 sticks.)
Line 4 – This line should include cigarettes (sticks) shipped into Cuyahoga County.
Line 5 – This is the combined Ohio/Cuyahoga County tax rate.
Line 6 – Multiply line 4 by line 5. This is the tax due on the cigarettes (sticks) shown on line 4. (Ex. 1 carton = 200 sticks.)
Line 7 – Add lines 3 and 6. This amount is the total tax due. Make your check payable to the Ohio Treasurer of State.
If you have any questions, please call the Excise and Energy Tax Division at (855) 466-3921, option 3.
1. Total number of cigarettes (sticks) shipped into Ohio during report period
x
.0800
2. Tax rate ...................................................................................................
3. Tax liability (line 1 x line 2) ......................................................................................................... $
4. Total number of cigarettes (sticks) shipped into Cuyahoga County .......
x
.09725
5. Tax rate ...................................................................................................
6. Tax liability (line 4 x line 5) ......................................................................................................... $
7. Total due with this report (add lines 3 and 6) ............................................................................. $
I declare under penalties of perjury that this return (in-
cluding any accompanying schedules and statements)
Signature
has been examined by me and, to the best of my
knowledge and belief, is a true, correct and complete
return and report.
Title
Date
Mail report and check or money order covering tax due to the
Excise and Energy Tax Division, Tobacco Unit, P.O. Box 530, Columbus, OH 43216-0530.
CIG 57
Rev. 7/15
Reset Form
P.O. Box 530
Columbus, OH 43216-0530
Ohio Cigarette Consumer’s Use Tax
Reporting Period
Ohio Revised Code (R.C.) section 5743.32 provides
that every person who has acquired cigarettes for
use, storage or other consumption in this state shall,
For the month of
, 20
on or before the 15th day of the month following
receipt of such cigarettes, make and file with the tax
Name
commissioner a return showing the amount of ciga-
rettes acquired, together with remittance of the tax
Address
thereon; provided that the tax levied in R.C. section
5743.02 and 5743.024 has not been paid.
City
State
ZIP
Instructions
Line 1 – This line should include cigarettes (sticks) shipped into all areas of Ohio except Cuyahoga County reported on the
schedule (see reverse side for the schedule to be completed and for a listing of municipalities in Cuyahoga County).
All lines on the return must be completed.
Line 2 – This is the Ohio tax rate.
Line 3 – Multiply line 1 by line 2. This is the tax due on the cigarettes (sticks) shown on line 1. (Ex. 1 carton = 200 sticks.)
Line 4 – This line should include cigarettes (sticks) shipped into Cuyahoga County.
Line 5 – This is the combined Ohio/Cuyahoga County tax rate.
Line 6 – Multiply line 4 by line 5. This is the tax due on the cigarettes (sticks) shown on line 4. (Ex. 1 carton = 200 sticks.)
Line 7 – Add lines 3 and 6. This amount is the total tax due. Make your check payable to the Ohio Treasurer of State.
If you have any questions, please call the Excise and Energy Tax Division at (855) 466-3921, option 3.
1. Total number of cigarettes (sticks) shipped into Ohio during report period
x
.0800
2. Tax rate ...................................................................................................
3. Tax liability (line 1 x line 2) ......................................................................................................... $
4. Total number of cigarettes (sticks) shipped into Cuyahoga County .......
x
.09725
5. Tax rate ...................................................................................................
6. Tax liability (line 4 x line 5) ......................................................................................................... $
7. Total due with this report (add lines 3 and 6) ............................................................................. $
I declare under penalties of perjury that this return (in-
cluding any accompanying schedules and statements)
Signature
has been examined by me and, to the best of my
knowledge and belief, is a true, correct and complete
return and report.
Title
Date
Mail report and check or money order covering tax due to the
Excise and Energy Tax Division, Tobacco Unit, P.O. Box 530, Columbus, OH 43216-0530.
CIG 57
Rev. 7/15
Page 2
Schedule of Cigarettes Shipped in Ohio
(1)
(2)
(3)
(4)
(5)
Brand ID
Complete address where
Brand
Manufacturer
Total number of
Complete address where
(internal use
cartons were received
cartons received
cartons were purchased
only)
Cities and Towns of Cuyahoga County
Bay Village ........................................................... 44140
Maple Heights...................................................... 44137
Beachwood .......................................................... 44122
Mayfi eld ............................................................... 44143
Bedford ................................................................ 44146
Mayfi eld Heights .................................................. 44124
Bedford Heights ................................................... 44146
Middleburg Heights.............................................. 44130
Bentleyville .......................................................... 44022
Midpark ................................................................ 44130
Berea ................................................................... 44017
Moreland Hills ...................................................... 44022
Bratenahl ............................................................. 44108
Newburgh Heights ............................................... 44105
Brecksville ........................................................... 44141
Noble ................................................................... 44132
Briggs .................................................................. 44134
North Olmsted ..................................................... 44070
Broadview Heights............................................... 44141
North Randall....................................................... 44128
Brooklyn............................................................... 44144
North Royalton..................................................... 44133
Brooklyn Heights ................................................. 44131
Oakwood ............................................................. 44146
Brook Park ........................................................... 44142
Olmsted Falls....................................................... 44138
Chagrin Falls ....................................................... 44022
Orange................................................................. 44022
Cleveland............................................................. 44101-99
Parma .................................................................. 44129
Cleveland Heights ............................................... 44118
Parma Heights ..................................................... 44130
Cuyahoga Heights ............................................... 44125
Pepper Pike ......................................................... 44124
East Cleveland .................................................... 44112
Richmond Heights ............................................... 44143
Edgewater ........................................................... 44107
Riveredge ............................................................ 44135
Euclid ................................................................... 44117
Rocky River ......................................................... 44116
Fairview Park ....................................................... 44126
Seven Hills........................................................... 44131
Garfi eld Heights ................................................... 44125
Shaker Heights .................................................... 44122
Gates Mills ........................................................... 44040
Shore ................................................................... 44123
Glenwillow ........................................................... 44139
Solon ................................................................... 44139
Highland Heights ................................................. 44124
South Euclid ........................................................ 44121
Hunting Valley ...................................................... 44022
Strongsville .......................................................... 44136
Independence ...................................................... 44131
University Heights................................................ 44118
Lakewood ............................................................ 44107
Valley View .......................................................... 44131
Lee....................................................................... 44120
Walton Hills .......................................................... 44146
Linndale ............................................................... 44111
Warrensville Heights ............................................ 44122
Lyndhurst ............................................................. 44124
Westlake .............................................................. 44145
Lyndhurst-Mayfi eld Heights ................................. 44124
Woodmere ........................................................... 44122
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