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The Charter of the French language and its regulations govern the consultation of English-language content.

Statement of Cigarettes and Other Tobacco Products Sold and Distributed
TA-17.5.R-V

This form is entended for all agents (under agreement or not under agreement) that manufacture or import cigarettes and other tobacco products.

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Before completing this form, consult the Tobacco Tax Rate Table (TA-1-V) to find out which tobacco tax rates apply to your situation.
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To complete the form, save it to your computer and open it in Adobe Reader.

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2012-02 version

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