Texas Cigarette Tax Stamp Online Order Form

Required Fields *

* Distributor Code
* Distributor Name
* Contact Name for Stamp Order
* Phone (and extension)
E-mail

Stamp Type	Unit Price	Quantity	Stamp Value
H-4 / 20's 30,000 Roll	1.41
N-6 / 20's 1500 Pad (Camel Wide)	1.41
N-7 / 20's 1500 Pad	1.41
N-2 / 25's 1000 Pad (Century)	1.7625
H-3 / 25's 7,200 Roll (American)	1.7625
H-5 / 25's 7,200 Roll (Meyercord)	1.7625

Gross Amount Due
<Stamp Credits>
Net Amount Due
<3% Discount>
<Prior Overpayment>
+ Prior Balance/Liability
Total Tax Due

Comments

If you have any questions regarding this form or the stamps, please contact one of our tax specialists at (800) 862-2260, toll-free nationwide. The local number in Austin is (512) 463-3731.