Form 70-017 "Iowa Cigarette Tax Report for in-State Distributors" - Iowa

This version of the form is not currently in use and is provided for reference only.
Download this version of Form 70-017 for the current year.

What Is Form 70-017?

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

Form Details:

  • Released on May 17, 2017;
  • The latest edition provided by the Iowa Department of Revenue;
  • 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 printable version of Form 70-017 by clicking the link below or browse more documents and templates provided by the Iowa Department of Revenue.

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Download Form 70-017 "Iowa Cigarette Tax Report for in-State Distributors" - Iowa

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Iowa Cigarette Tax Report
In-State Distributors
https://tax.iowa.gov
th
Due Date: On or before the 10
day of the month following the month for which the report is made.
▲Return for the Month of
Year
For Office Use Only
▲Permit Number
▲Postmark Date
Business Name
Address
City
State
ZIP
Cigarette reports and all supporting documentation are required to be maintained for five years. Only approved
brands of cigarettes may be sold in Iowa. Any product not on the list is contraband. Go to the Department’s
.
website
(https://tax.iowa.gov)
under the cigarette and tobacco tax section for additional information
Civil
penalty starts at $200.00 for late filed, incomplete, or false reports.
Section I. Stamps Purchased During the Month
Date
Quantity of Stamps for Packs of 20’s
Quantity of Stamps for Packs of 25’s
Totals ..................................
Section II. Cigarette Packs Summary
Quantity of Stamps
for Packs of 20’s and
Quantity of Stamps
Little Cigars
for Packs of 25’s
Total
1. Beginning inventory (prior month’s
unstamped packs)
2. Add purchases this month
3. Subtotal. Add lines 1 and 2
4. Less ending inventory this month
(unstamped packs)
5. Subtotal. Line 3 less 4
6. Less little cigars sold out of state this
month
7. Balance. Line 5 less line 6
8. Stamped packs returned to the
manufacturer
I declare that I have examined this report and to the best of my knowledge and belief, it is a true, correct and
complete report.
Authorized Signature
Date
Title of Officer
Telephone Number
70-017a (05/17/17)
Iowa Cigarette Tax Report
In-State Distributors
https://tax.iowa.gov
th
Due Date: On or before the 10
day of the month following the month for which the report is made.
▲Return for the Month of
Year
For Office Use Only
▲Permit Number
▲Postmark Date
Business Name
Address
City
State
ZIP
Cigarette reports and all supporting documentation are required to be maintained for five years. Only approved
brands of cigarettes may be sold in Iowa. Any product not on the list is contraband. Go to the Department’s
.
website
(https://tax.iowa.gov)
under the cigarette and tobacco tax section for additional information
Civil
penalty starts at $200.00 for late filed, incomplete, or false reports.
Section I. Stamps Purchased During the Month
Date
Quantity of Stamps for Packs of 20’s
Quantity of Stamps for Packs of 25’s
Totals ..................................
Section II. Cigarette Packs Summary
Quantity of Stamps
for Packs of 20’s and
Quantity of Stamps
Little Cigars
for Packs of 25’s
Total
1. Beginning inventory (prior month’s
unstamped packs)
2. Add purchases this month
3. Subtotal. Add lines 1 and 2
4. Less ending inventory this month
(unstamped packs)
5. Subtotal. Line 3 less 4
6. Less little cigars sold out of state this
month
7. Balance. Line 5 less line 6
8. Stamped packs returned to the
manufacturer
I declare that I have examined this report and to the best of my knowledge and belief, it is a true, correct and
complete report.
Authorized Signature
Date
Title of Officer
Telephone Number
70-017a (05/17/17)
Iowa Cigarette Tax Report, page 2
Section III. Stamps Summary
Total
Total
Out-of-
Out-of-
Totals
Total
Iowa
Iowa
State
State
Stamps
Stamps
20’s
25’s
20’s
25’s
20’s
25’s
1. Beginning inventory (prior month’s
ending inventory unaffixed stamps) ▲
2. Purchases this month. Add totals from
Section I
3. Subtotal
4. Less ending inventory (this month’s
unaffixed stamps)
5. Balance (revenue stamps used this
month).
Out-of-State Stamps Only
All of the below states should be combined and entered in Section III under the columns “Total Out-of-State” for
20’s and 25’s.
20’s
25’s
20’s
25’s
20’s
25’s
1. Enter state
2. Beginning inventory (prior month’s
ending inventory unaffixed stamps) ▲
3. Purchases this month. Add totals from
Section I
4. Subtotal
5. Less ending inventory (this month’s
unaffixed stamps)
6. Balance (revenue stamps used this
month).
20’s
25’s
20’s
25’s
20’s
25’s
1. Enter state
2. Beginning inventory (prior month’s
ending inventory unaffixed stamps) ▲
3. Purchases this month. Add totals from
Section I
4. Subtotal
5. Less ending inventory (this month’s
unaffixed stamps)
6. Balance (revenue stamps used this
month).
Submit this form to:
Mailing Address:
OR
Iowa Department of Revenue
Delivery Address:
Tax Management Division
Iowa Department of Revenue
Compliance Services
Hoover Bldg., Cigarette Tax
PO Box 10472
1305 E Walnut
Des Moines IA 50306-0472
Des Moines IA 50319
Questions: Call 515-281-6134 or email IDRCigarette@iowa.gov
70-017b (05/31/17)
Iowa Cigarette Tax Report, page 3
Section IV. Distributor’s Record of Cigarettes Received
Manufacturer
Manufacturer
Packs of
Packs of
Invoice
20’s &
Packs of
Invoice
20’s &
Packs of
Date
Date
Number
Little
25’s
Number
Little
25’s
Cigars
Cigars
Total
________
Total
70-017c (05/10/17)
Iowa Cigarette Tax Report, page 4
Manufacturer
Manufacturer
Packs of
Packs of
Invoice
20’s &
Packs of
Invoice
20’s &
Packs of
Date
Date
Number
Little
25’s
Number
Little
25’s
Cigars
Cigars
Total
Total
70-017d (05/10/17)
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