Form CDTFA-400-LMI2 "Schedule of Cigarette Brand Family Names" - California

What Is Form CDTFA-400-LMI2?

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 October 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;

Download a fillable version of Form CDTFA-400-LMI2 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-400-LMI2 "Schedule of Cigarette Brand Family Names" - California

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CDTFA-400-LMI2 REV. 7 (10-17)
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF
SCHEDULE OF CIGARETTE BRAND FAMILY NAMES
TAX AND FEE ADMINISTRATION
CIGARETTE MANUFACTURER/IMPORTER NAME
ADDRESS (city, state, zip code)
Pursuant to Chapter 4 of the California Business and Professions Code (commencing with section 22979), in order to be
eligible for obtaining and maintaining a license, a manufacturer or importer must submit to the California Department of Tax and
Fee Administration (CDTFA) a list of all brand families that it manufactures or imports.
Complete this schedule and mail it to the California Department of Tax and Fee Administration, Compliance Branch, P.O. Box
942879, Sacramento, CA 94279-0088. If more space is required, you may copy this form.
BRAND NAME
BRAND NAME
As required by the California Cigarette and Tobacco Products Licensing Act of 2003 (California Business and Professions Code
section 22979), the reporting company must update the schedule and provide a copy to the CDTFA whenever a new or
additional brand is manufactured or imported by the reporting company, or a listed brand is no longer manufactured or
imported by the reporting company. To obtain additional copies of this form, please visit our website at www.cdtfa.ca.gov or
call our Customer Service Center at 1-800-400-7115 (TTY:711). Customer Service representatives are available to assist you
weekdays from 8:00 a.m. to 5:00 p.m. (Pacific time), except state holidays.
NAME OF AUTHORIZED AGENT (typed or printed)
TITLE
TELEPHONE NUMBER
EMAIL ADDRESS
DATE
SIGNATURE OF AUTHORIZED AGENT
CLEAR
PRINT
CDTFA-400-LMI2 REV. 7 (10-17)
STATE OF CALIFORNIA
CALIFORNIA DEPARTMENT OF
SCHEDULE OF CIGARETTE BRAND FAMILY NAMES
TAX AND FEE ADMINISTRATION
CIGARETTE MANUFACTURER/IMPORTER NAME
ADDRESS (city, state, zip code)
Pursuant to Chapter 4 of the California Business and Professions Code (commencing with section 22979), in order to be
eligible for obtaining and maintaining a license, a manufacturer or importer must submit to the California Department of Tax and
Fee Administration (CDTFA) a list of all brand families that it manufactures or imports.
Complete this schedule and mail it to the California Department of Tax and Fee Administration, Compliance Branch, P.O. Box
942879, Sacramento, CA 94279-0088. If more space is required, you may copy this form.
BRAND NAME
BRAND NAME
As required by the California Cigarette and Tobacco Products Licensing Act of 2003 (California Business and Professions Code
section 22979), the reporting company must update the schedule and provide a copy to the CDTFA whenever a new or
additional brand is manufactured or imported by the reporting company, or a listed brand is no longer manufactured or
imported by the reporting company. To obtain additional copies of this form, please visit our website at www.cdtfa.ca.gov or
call our Customer Service Center at 1-800-400-7115 (TTY:711). Customer Service representatives are available to assist you
weekdays from 8:00 a.m. to 5:00 p.m. (Pacific time), except state holidays.
NAME OF AUTHORIZED AGENT (typed or printed)
TITLE
TELEPHONE NUMBER
EMAIL ADDRESS
DATE
SIGNATURE OF AUTHORIZED AGENT
CLEAR
PRINT