Form CWIP-1 "Wholesale Dealer's Monthly Informational and Purchases Report" - New Jersey

What Is Form CWIP-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 September 1, 1999;
  • 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 CWIP-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 CWIP-1 "Wholesale Dealer's Monthly Informational and Purchases Report" - New Jersey

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Form No. CWIP-1
(9-99, R-11)
WHOLESALE DEALER’S MONTHLY
INFORMATIONAL AND PURCHASES REPORT
REPORT DUE BY
STATE OF NEW JERSEY
Name _____________________________________________________________
DIVISION OF TAXATION
THE 10TH OF
CIGARETTE TAX
Address____________________________________________________________
PO BOX 187
EACH MONTH
Month________________Year_______ LICENSE No. W-___________________
TRENTON, NJ 08695-0187
Federal Identification No. _____________________________________________
1. Listed below are the names and addresses of those New Jersey Cigarette Retail Dealers who, while making purchases of cigarettes,
have been unable to identify themselves satisfactorily as currently licensed New Jersey Retail Dealers. (If none, write “NONE”).
ADDRESS
Name of Unlicensed Cigarette
Retail Dealer
Number and Street
City and Zip Code
2. Number of Retail Dealers serviced by you during the month
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
a.
Total cigarettes sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
b.
Number of cigarettes sold to retailers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
c.
Receipts in dollars for cigarettes sold to retailers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$__________________________
3. Number of vending machines operated during month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
4. Number of stamped cigarettes purchased during the month . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
(Attach Schedule R)
The undersigned states, (UNDER PENALTY OF PERJURY) that all of the information contained in this report is true and accurate in every
particular. The signer further swears that he is giving no rebates or other concessions which result in the sale of cigarettes at a price below the legal
minimum.
_____________________________________________________ ____________________________ ____________________________________
Name of Licensee
Date
Title
Form No. CWIP-1
(9-99, R-11)
WHOLESALE DEALER’S MONTHLY
INFORMATIONAL AND PURCHASES REPORT
REPORT DUE BY
STATE OF NEW JERSEY
Name _____________________________________________________________
DIVISION OF TAXATION
THE 10TH OF
CIGARETTE TAX
Address____________________________________________________________
PO BOX 187
EACH MONTH
Month________________Year_______ LICENSE No. W-___________________
TRENTON, NJ 08695-0187
Federal Identification No. _____________________________________________
1. Listed below are the names and addresses of those New Jersey Cigarette Retail Dealers who, while making purchases of cigarettes,
have been unable to identify themselves satisfactorily as currently licensed New Jersey Retail Dealers. (If none, write “NONE”).
ADDRESS
Name of Unlicensed Cigarette
Retail Dealer
Number and Street
City and Zip Code
2. Number of Retail Dealers serviced by you during the month
. . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
a.
Total cigarettes sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
b.
Number of cigarettes sold to retailers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
c.
Receipts in dollars for cigarettes sold to retailers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$__________________________
3. Number of vending machines operated during month . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
4. Number of stamped cigarettes purchased during the month . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
___________________________
(Attach Schedule R)
The undersigned states, (UNDER PENALTY OF PERJURY) that all of the information contained in this report is true and accurate in every
particular. The signer further swears that he is giving no rebates or other concessions which result in the sale of cigarettes at a price below the legal
minimum.
_____________________________________________________ ____________________________ ____________________________________
Name of Licensee
Date
Title
INSTRUCTIONS
Item Number 1.
List those persons unidentifiable as holders of a current retail cigarette license.
Item Number 2.
Report the number of retail dealers to whom you sold cigarettes during the month.
Item Number 3.
Report the number of vending machines operated at end of month.
Item Number 4.
Enter the number of stamped cigarettes purchased during the report month and support
by Schedule “R”. List purchases in detail and by date of invoice rather than by date of
receipt.
NOTE:
1. This report must be filed with the Division of Taxation, on or before the tenth day of the
month, following the month being reported upon. A copy is to be retained by the licensee
and kept readily accessible.
2. If there is no information to be reported it is mandatory that a negative report be filed.
3. The New Jersey Cigarette Tax and Unfair Cigarette Sales Acts provide penalties for making
false statements or concealing any material fact in this report and also for failure to file this
report within the time period specified.
4. Additional Forms CWIP-1 should be used to supplement Item No. 1 when necessary.
5. Reports received after the tenth day of the month subsequent to the report month are
considered delinquent and a mandatory penalty of $100.00 per month must be levied and
collected. In addition, compound interest will accrue on the unpaid balance due.
For the purpose of penalty computations a fraction of a month is considered as an entire
month.
CWIP-1 (9-99, R-11)
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