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Get NC B-A-101 2012

Wner (First 35 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS) FEIN or SSN Trade Name Mailing Address NCDOR ID/License Number City State Name of Contact Person Zip Code State of Domicile Fill in circle if applicable: Phone Number Amended Return Fax Number Computation of Other Tobacco Products Excise Tax Sold in Taxable Transactions 1. Cost Price of Other Tobacco Products Sold During the Month Cost price is the price paid for the products before any discount, rebate, or.

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