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Tobacco Tax Forms & Schedules

Fillable Forms Disclaimer
Many tax forms can now be completed on-line for printing and mailing. Currently, there is no computation, validation, or verification of the information you enter, and you are still responsible for entering all required information. Instructions may require some information to be handwritten on the form (signatures, for example).

For security reasons, you should press the "Reset Form" button after printing your completed form to clear your personal data. This button is located on the top of right corner of the form.

You will need Adobe Acrobat Reader installed to view the tax forms listed below.

Electronic Filing - Effective April 2005

Form Number Form Name Associated Form Number Associated Schedule
4154 Tobacco Products Electronic Filing Application 3999 Motor Fuel/Tobacco Trading Partner Agreement
4239 Tobacco Products EFT Credit Application
4240 Tobacco Products EFT Debit Application
4241 Tobacco Products Payment Proposed Adjustment Coupon
4179 WC- MI Wholesale Cigarette Tax Return 4247 C-101- Schedule of Cigarette Purchases (Receipts)
4246 AC- MI Unclassified Acquirer Cigarette Tax Return 4251 C-102- Schedule of Cigarette Credits (Adjustments)
4252 C-108- Schedule of Cigarette Sales (Disbursements)
4253 C-115- Schedule of Cigarettes Sold to Michigan Tribes
4254 C-103-Schedule of Out-of-State Cigarette Shipments (MI based; Exports Only )
4260 C-104A-Declaration of Ending Inventory of Unaffixed Michigan Cigarette Stamps
4261 C-104B- Declaration of Cigarettes in Inventory Stamped for Another State
4244 WT-MI Wholesaler of Other Tobacco Products Tax Return 4255 T-115- Schedule of Other Tobacco Products Sold to MI Tribes
4245 AT-MI Unclassified Acquirer of Other Tobacco Products 4256 T-108- Schedule of Other Tobacco Products Sales (Disbursements)
4257 T-103 Schedule of Out-of-State Other Tobacco Products (Exports)
4258 T-102- Schedule of Other Tobacco Products Credits (Adjustments)
4259 T-101- Schedule of Other Tobacco Products Purchases (Receipts)
4344 T-108M- Manufacturer Schedule of Other Tobacco Products Sales (Disbursements)
4345 C-108M - Manufacturer Schedule of Cigarettes Sales (Disbursements)

Application/License Information

Form Number Form Name Associated Form Number Associated Schedule
151 Power of Attorney
163 Notice of Change or Discontinuance    
336 Application for a Tobacco Products Tax
323 Application for Non-Cigarette Tobacco Products Stamps
702 Motor Fuel/Tobacco Surety Bond

Tobacco Purchases via the Internet

4096A Tobacco Products Purchased on or after August 1, 2002
4096B Tobacco Products Purchased after July 1, 2004

Tobacco Stamping

Form Number Form Name Associated Form Number Associated Schedule
3354 Signature Authorization for Cigarette Tax Stamps
3371 Stamping Agent Agreement
3382 Request for Alternate Tobacco Purchase Records
3383 Request for Adjustment to Cigarette Stamp Inventory

Historical Tobacco Tax Returns

320 Michigan Supplemental Tobacco Tax Return - Effective July 1, 2004 through March 30, 2005 2382 Michigan Multiple Tobacco Products Tax Schedule
3353 Schedule J-Physical Inventory of Affixed & Unaffixed Stamps
320 Michigan Supplemental Tobacco Tax Return - Amended May 1994; Aug 2002; July 2004 373 Schedule I, Tobacco Products Sold to Indian Tribes
3669 Schedule K, Sales of Roll Your Own Tobacco & Cigarette Products
4028 Schedule M-Bad Debit Deduction
322 Michigan Tobacco Products Tax Return - May 1994 through July 2002 47 Schedule E Physical Inventory
322 Michigan Tobacco Products Tax Return - August 2002 through June 2004
322 Michigan Tobacco Products Tax Return - July 1, 2004 through March 2005

Tribal

Form Number Form Name Associated Form Number Associated Schedule
3592 Claim for Tobacco Tax Refund
3593 Summary of Sales Worksheet/Tribal Government or Tribal Members
3598 Indian Country Information Inquiry

Non-Participating Manufacturer

3762 Notification of Compliance by Non-Participating Manufacturer
4126 Equity Assessment prepayment Report for Non-participating Manufacturers of Cigarettes and/or "Roll-Your-Own" Tobacco


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