Form AG-1 "Stamping Agent's Monthly Report of Virginia Stamped Cigarettes and Roll-Your-Own Tobacco by Non-participating Manufacturer's Brand Family" - Virginia

What Is Form AG-1?

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

Form Details:

  • Released on February 1, 2009;
  • The latest edition provided by the Attorney General of Virginia;
  • 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 AG-1 by clicking the link below or browse more documents and templates provided by the Attorney General of Virginia.

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Download Form AG-1 "Stamping Agent's Monthly Report of Virginia Stamped Cigarettes and Roll-Your-Own Tobacco by Non-participating Manufacturer's Brand Family" - Virginia

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(Rev 2/09)
AG-1 (NPM)
Stamping Agent’s Monthly Report of Virginia Stamped Cigarettes
And Roll-Your-Own Tobacco By Non-Participating Manufacturer’s Brand Family
Page _____ of _____
· List all cigarettes stamped with a Virginia tax stamp for the report month,
and all RYO tobacco on which excise tax paid in report month.
AG-1 should be mailed to:
· This form should be used for Non-Participating Manufacturers
Office of the Attorney General
(NPM).
Tobacco Section
900 East Main Street
Richmond, Virginia 23219
Reporting
Your Permit
Month/Year:
Number:
th
· AG-1 (NPM) must be received by the 20
day of the month following
Your
the calendar month for which the report is made.
Business
Name:
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Pack
Number
Dollars of
First Importer If
Number of
From Whom Brand
Size
of Ounces
Brand
RYO
Manufacturer
Foreign Manufactured
Packs
of RYO
Was Purchased
20
25
Family/Name
excise tax
(Name and Address)
Product (Name and
Stamped
on which
(Name and Address)
paid
Address)
tax paid
Total
Total
Total
Under penalty of perjury, I hereby declare that this report is true and correct.
_____________________________________________________________
__________________________________________
Signature and Title
Date
___________________________________________________________________________________________
Name Printed
(Rev 2/09)
AG-1 (NPM)
Stamping Agent’s Monthly Report of Virginia Stamped Cigarettes
And Roll-Your-Own Tobacco By Non-Participating Manufacturer’s Brand Family
Page _____ of _____
· List all cigarettes stamped with a Virginia tax stamp for the report month,
and all RYO tobacco on which excise tax paid in report month.
AG-1 should be mailed to:
· This form should be used for Non-Participating Manufacturers
Office of the Attorney General
(NPM).
Tobacco Section
900 East Main Street
Richmond, Virginia 23219
Reporting
Your Permit
Month/Year:
Number:
th
· AG-1 (NPM) must be received by the 20
day of the month following
Your
the calendar month for which the report is made.
Business
Name:
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Pack
Number
Dollars of
First Importer If
Number of
From Whom Brand
Size
of Ounces
Brand
RYO
Manufacturer
Foreign Manufactured
Packs
of RYO
Was Purchased
20
25
Family/Name
excise tax
(Name and Address)
Product (Name and
Stamped
on which
(Name and Address)
paid
Address)
tax paid
Total
Total
Total
Under penalty of perjury, I hereby declare that this report is true and correct.
_____________________________________________________________
__________________________________________
Signature and Title
Date
___________________________________________________________________________________________
Name Printed