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This document is a claim form for refund of Nevada cigarette excise tax based on the destruction of state-taxed cigarettes. It provides instructions for wholesalers to claim a refund when cigarettes have become stale and were destroyed. Wholesalers must provide their license number, details of the destroyed cigarettes such as number and date, and certify that the cigarettes were destroyed for being stale. The form calculates refund amounts based on the number and size of cigarette packages destroyed.
