Form CDTFA-413-ACTS "Cigarette Distributor's Report of Returned Stamps" - California

What Is Form CDTFA-413-ACTS?

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

Form Details:

  • Released on August 1, 2017;
  • The latest edition provided by the California Department of Tax and Fee Administration;
  • 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 CDTFA-413-ACTS by clicking the link below or browse more documents and templates provided by the California Department of Tax and Fee Administration.

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Download Form CDTFA-413-ACTS "Cigarette Distributor's Report of Returned Stamps" - California

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CDTFA-413-ACTS (FRONT) REV. 2 (8-17)
STATE OF CALIFORNIA
CIGARETTE DISTRIBUTOR’S
CALIFORNIA DEPARTMENT OF
REPORT OF RETURNED STAMPS
TAX AND FEE ADMINISTRATION
DISTRIBUTOR’S NAME
DISTRIBUTOR’S ACCOUNT NUMBER
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER
(
)
CONTACT NAME
CONTACT TELEPHONE NUMBER
(
)
Please provide the roll serial number, the number of stamps remaining, the corresponding order number, and a description of the stamp
problem:
ROLL SERIAL NUMBER
NUMBER OF STAMPS REMAINING
ORDER NUMBER
DESCRIPTION OF THE STAMP PROBLEM
PLEASE INDICATE HOW THE NUMBER OF STAMPS REMAINING WAS DETERMINED
The roll of stamps referenced above may be defective or non-compliant and cannot be used, as verifed by:
NAME OF DISTRIBUTOR REPRESENTATIVE
SIGNATURE
DATE
NAME OF MEYERCORD TECHNICIAN
SIGNATURE
DATE
CLEAR
PRINT
CDTFA-413-ACTS (FRONT) REV. 2 (8-17)
STATE OF CALIFORNIA
CIGARETTE DISTRIBUTOR’S
CALIFORNIA DEPARTMENT OF
REPORT OF RETURNED STAMPS
TAX AND FEE ADMINISTRATION
DISTRIBUTOR’S NAME
DISTRIBUTOR’S ACCOUNT NUMBER
ADDRESS (street, city, state, zip code)
TELEPHONE NUMBER
(
)
CONTACT NAME
CONTACT TELEPHONE NUMBER
(
)
Please provide the roll serial number, the number of stamps remaining, the corresponding order number, and a description of the stamp
problem:
ROLL SERIAL NUMBER
NUMBER OF STAMPS REMAINING
ORDER NUMBER
DESCRIPTION OF THE STAMP PROBLEM
PLEASE INDICATE HOW THE NUMBER OF STAMPS REMAINING WAS DETERMINED
The roll of stamps referenced above may be defective or non-compliant and cannot be used, as verifed by:
NAME OF DISTRIBUTOR REPRESENTATIVE
SIGNATURE
DATE
NAME OF MEYERCORD TECHNICIAN
SIGNATURE
DATE
CLEAR
PRINT
CDTFA-413-ACTS (BACK) REV. 2 (8-17)
INSTRUCTIONS
In the event that you fnd defective or non-compliant stamps, you should promptly notify
Meyercord Revenue at 1-800-639-3799 and make arrangements to have a Meyercord technician
validate the problem stamp issue. You should also notify the California Department of Tax and
Fee Administration’s Cigarette Tax Stamp Desk at 1-916-341-6923.
If the Meyercord technician determines that the stamps cannot be used, you should complete
a CDTFA-413-ACTS, Cigarette Distributor’s Report of Returned Stamps for each roll of defective
or non-compliant stamps and have the Meyercord technician sign and date each form.
Please complete the front side of this form as follows:
Indicate your (distributor) name, your account number, your full address, your telephone
number, and the name and telephone number of a contact person if applicable.
Provide the tax stamp roll serial number, the number of stamps remaining on the roll (per your
records), the corresponding order number, a description of the stamp problem, and how the
number of remaining stamps was determined.
Provide the name, signature and date of signature of both the distributor representative and the
Meyercord technician.
Fax the completed CDTFA-413-ACTS, Cigarette Distributor’s Report of Returned Stamps to the
Cigarette Tax Stamp Program Desk at 1-916-327-6235.
Retain a copy of this form for your records. Enclose the original copy with the defective stamps
that are being returned to Meyercord.
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