Information Regarding Brands Sold In New York State {CG-30.1}

New York State Department of Taxation and Finance Information Regarding Brands Sold in New York State Attachment to Form CG-30 Legal name of manufacturer Date CG-30.1 (2/08) Federal employer identification number (EIN) As required by New York State (NYS) Tax Law section 480-b, every tobacco product manufacturer must list each of its cigarette brands sold for consumption in NYS from January 1 of the prior calendar year until the date of this annual certification (see Form CG-30-I, Instructions for Form CG-30). Following is a list of brands sold for consumption in NYS by (legal name of manufacturer) for the period January 1, 20 through , 20 . Tobacco product manufacturers who first introduce their products for sale in NYS must list the cigarette brands they intend to sell before making the first sale of these brands in NYS. Following is a list of brands to be sold for consumption in NYS by (legal name of manufacturer) effective: (month) (day) , (year) . Page of Complete brand names* Complete brand names* * Be sure the complete brand names of the cigarettes are listed, including the following (attach additional sheets if necessary): · filtered or unfiltered · descriptive information (such as menthol or slim) · size (such as regular, king, 100's, etc.) · other information as necessary to identify the product American LegalNet, Inc. www.FormsWorkflow.com