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Tobacco Forms

Please note that most tobacco tax transactions must be completed electronically through Arizona Luxury Tax Online (“ALTO”). Paper forms for certain transactions are available below.

Category Form Number Title
Tobacco Forms 11134 PACT Act Statement
Tobacco Forms 11361 Distributor Bond For Cigarette Tax Stamp Purchases
Tobacco Forms 845-CIG Retailer’s Report of Cigarettes Sold
Tobacco Forms 845-OTP Retailer’s Report of Other Tobacco Products Sold
Tobacco Forms 850 Distributor Request to Submit Alternative Proof to Establish Entitlement to Rebate of Tobacco Tax
Tobacco Forms 855 Request for Administrative Hearing on Seizure of Tobacco Products

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Arizona Department of Revenue

1600 West Monroe Street
Phoenix, AZ 85007
(602) 255-3381

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