Form NPM-1 "Non-participating Manufacturer Reporting Form" - New Jersey

What Is Form NPM-1?

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

Form Details:

  • Released on March 1, 2014;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • 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 NPM-1 by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form NPM-1 "Non-participating Manufacturer Reporting Form" - New Jersey

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NPM-1 (3-14, R-1)
NON-PARTICIPATING MANUFACTURER REPORTING FORM
Month_______ Year______
STATE OF NEW JERSEY
REPORT DUE BY THE
Name__________________________________________________________
DIVISION OF TAXATION
20th OF THE MONTH FOR
CIGARETTE TAX
SALES IN THE PRIOR
Address________________________________________________________
PO BOX 187
MONTH
TRENTON, NJ 08695-0187
Page: ______ of ______
License No. ____________________ FID No. ________________________
(A)
(B)
(C)
(D)
(E)
Brand Name of Cigarette or
Name and Address of
Name and Address of Company
Number of Cigarettes Sold During
Ounces of Roll-Your-Own
Roll-Your-Own Tobacco
Manufacturer of Brand
from which Brand Purchased
the Month on which you affixed a
(RYO) Tobacco Sold in New
New Jersey Tax Stamp
Jersey During the Month
The undersigned states, (UNDER THE PENALTY OF PERJURY), that all of the information contained in this return and in all supporting schedules and statements are true and
accurate in every particular.
______________________________________________________________________
By: ___________________________________________________________________
Name of Licensee
Date
Name
Title
PLEASE COPY FORM IF MORE SPACE IS NEEDED
(See Reverse Side for Instructions)
NPM-1 (3-14, R-1)
NON-PARTICIPATING MANUFACTURER REPORTING FORM
Month_______ Year______
STATE OF NEW JERSEY
REPORT DUE BY THE
Name__________________________________________________________
DIVISION OF TAXATION
20th OF THE MONTH FOR
CIGARETTE TAX
SALES IN THE PRIOR
Address________________________________________________________
PO BOX 187
MONTH
TRENTON, NJ 08695-0187
Page: ______ of ______
License No. ____________________ FID No. ________________________
(A)
(B)
(C)
(D)
(E)
Brand Name of Cigarette or
Name and Address of
Name and Address of Company
Number of Cigarettes Sold During
Ounces of Roll-Your-Own
Roll-Your-Own Tobacco
Manufacturer of Brand
from which Brand Purchased
the Month on which you affixed a
(RYO) Tobacco Sold in New
New Jersey Tax Stamp
Jersey During the Month
The undersigned states, (UNDER THE PENALTY OF PERJURY), that all of the information contained in this return and in all supporting schedules and statements are true and
accurate in every particular.
______________________________________________________________________
By: ___________________________________________________________________
Name of Licensee
Date
Name
Title
PLEASE COPY FORM IF MORE SPACE IS NEEDED
(See Reverse Side for Instructions)
INSTRUCTIONS
This Reporting Form should be completed with regard to Non-participating Manufacturers (“NPMs”) only. An NPM is any
manufacturer of cigarettes or Roll-Your-Own (“RYO”) tobacco that is not a signatory to the Master Settlement Agreement
(“MSA”).
A manufacturer ceases to be an NPM upon entering into the MSA, thereby becoming a Participating
Manufacturer (“PM”). The list of PMs is updated regularly and is available from the Division of Taxation and on the
Division’s web site at: www.state.nj.us/treasury/taxation. If the only sales made during the reporting periods were from
PMs, simply indicate same on the Reporting Form. Specific instructions for completing the reverse side are as follows.
Column A:
Enter the full brand name of the cigarette or Roll-Your-Own (”RYO”) tobacco product
manufactured by a Non-participating Manufacturer (“NPM”) which you sold in New Jersey
during the applicable period.
Column B:
Enter the name and address of the Non-participating Manufacturer (“NPM”) of such brand.
Column C:
Enter the name and address of the company from which each brand was purchased.
Column D:
Enter the number of individual cigarettes sold in New Jersey upon which you affixed a
New Jersey tax stamp. Do not list cigarettes received with the tax stamp already affixed.
Column E:
Enter the ounces of Roll-Your-Own (“RYO”) tobacco sold in New Jersey.
NPM-1 (3-14, R-1)
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