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Tobacco and Cigarette Forms

Introduction

These forms may be printed, filled out, and filed with the Oregon Department of Revenue. You must have Adobe Acrobat Reader to download the forms to your computer.
 
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Tobacco and cigarette forms

Application for Deferred Payment of Cigarette Tax, 150-105-002 (Rev. 12-09)
[Form]
 
Application for Distributor's License, 150-105-001 (Rev. 12-09)
[Form]
 
Application for Permit for Transportation of Untaxed Tobacco Products, 150-605-003 (Rev. 07-12)
[Form]
 
Cigarette Tax BOND, 150-105-003 (Rev. 12-09)
[Form]
 
List of Participating Manufacturers for the Cigarette/Tobacco Master Settlement Agreement

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2013 Tax Year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-12)
[Form]

Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-12)
[Form]


Form 530, Oregon Quarterly Tax Return for Tobacco Distributors, 150-605-004 (Rev. 12-12)
[Form]

Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-12)
[Form]

Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 12-12)
[Form]

Schedule 1—Tobacco Products Tax, 150-605-011 (Rev. 12-11)
[Form]

Schedule 2—Moist Snuff (Definition A) Tax on Units at or Below Floor, 150-605-012 (Rev. 12-11)
[Form]

Schedule 3—Moist Snuff (Definition A) Tax on Units Above Floor, 150-605-013 (Rev. 12-11)
[Form]

Schedule 4—Moist Snuff (Definition B) Tax on Units at or Below Floor, 150-605-014 (Rev. 12-11)
[Form]

Schedule 5—Moist Snuff (Definition B) Tax on Units Above Floor, 150-605-018 (Rev. 12-11)
[Form]

Schedule 6—Cigar Tax on Cigars Subject to Cap, 150-605-015 (Rev. 12-11)
[Form]

Schedule 7—Cigar Tax on Cigars Below Cap, 150-605-016 (Rev. 12-11)
[Form]

Licensed cigarette distributor forms: Schedule A—Report of Cigarettes Received, 150-105-053 (Rev. 12-12)
[Form]

Oregon Schedule C—Cigarette Distribution Report, 150-105-052 (Rev. 12-12)
[Form]

Form 510, Oregon Cigarette Tax Stamp Order Form, 150-105-020, (Rev. 12-12)
[Form]

Form 511, Oregon In-State Cigarette Distributor Quarterly Reconciliation Report, 150-105-051 (Rev. 12-12)
[Form]

Form 511, Oregon Out-of-State Cigarette Distributor Quarterly Reconciliation Report, 150-105-057 (Rev. 12-12)
[Form]
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2012 Tax Year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-11)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-11)
[Form]
 
Form 530, Oregon Quarterly Tax Return for Tobacco Distributors, 150-605-004 (Rev. 12-11)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-11)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 12-11)
[Form]
 
Schedule 1—Tobacco Products Tax, 150-605-011 (Rev. 12-11)
[Form]
 
Schedule 2—Moist Snuff (Definition A) Tax on Units at or Below Floor, 150-605-012 (Rev. 12-11)
[Form]
 
Schedule 3—Moist Snuff (Definition A) Tax on Units Above Floor, 150-605-013 (Rev. 12-11)
[Form]
 
Schedule 4—Moist Snuff (Definition B) Tax on Units at or Below Floor, 150-605-014 (Rev. 12-11)
[Form]
 
Schedule 5—Moist Snuff (Definition B) Tax on Units Above Floor, 150-605-018 (Rev. 12-11)
[Form]
 
Schedule 6—Cigar Tax on Cigars Subject to Cap, 150-605-015 (Rev. 12-11)
[Form]
 
Schedule 7—Cigar Tax on Cigars Below Cap, 150-605-016 (Rev. 12-11)
[Form]
 

Licensed cigarette distributor forms:

Schedule A—Report of Cigarettes Received, 150-105-053 (Rev. 12-11)
[Form]
 
Oregon Schedule C—Tax Exempt Cigarette Distribution Report, 150-105-052 (Rev. 12-11)
[Form] 
 
Form 511, Oregon In-State Cigarette Distributor Quarterly Reconciliation Report, 150-105-051 (Rev. 12-11)
[Form]
 
Form 511, Oregon Out-of-State Cigarette Distributor Quarterly Reconciliation Report, 150-105-057 (Rev. 12-11)
[Form]

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2011 Tax Year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 07-10)
[Form]

Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 07-10)
[Form]

Form 530, Oregon Quarterly Tax Return for Tobacco Distributors, 150-605-004 (Rev. 01-11)
[Form]

Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 01-11)
[Form]

Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 01-11)
[Form]
 
Schedule 1—Tobacco Products Tax, 150-605-011 (Rev. 12-09)
[Form]
 
Schedule 2—Moist Snuff (Definition A) Tax on Units at or Below Floor, 150-605-012 (Rev. 06-10)
[Form]
 
Schedule 3—Moist Snuff (Definition A) Tax on Units Above Floor, 150-605-013 (Rev. 06-10)
[Form]
 
Schedule 4—Moist Snuff (Definition B) Tax on Units at or Below Floor, 150-605-014 (Rev. 06-10)
[Form]
 
Schedule 5—Moist Snuff (Definition B) Tax on Units Above Floor, 150-605-018 (Rev. 06-10)
[Form]
 
Schedule 6—Cigar Tax on Cigars Subject to Cap, 150-605-015 (Rev. 06-10)
[Form]
 
Schedule 7—Cigar Tax on Cigars Below Cap, 150-605-016 (Rev. 06-10)
[Form]

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2010 Tax year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-09)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-09)
[Form]
 
Form 530, Oregon Quarterly Tax Return for Tobacco Distributors, 150-605-004 (Rev. 06-10)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 11-10)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 11-10)
[Form]
 

Third and fourth quarter schedules

Schedule 1—Tobacco Products Tax, 150-605-011 (Rev. 06-10)
[Form]
 
Schedule 2—Moist Snuff (Definition A) Tax on Units at or Below Floor, 150-605-012 (Rev. 06-10)
[Form]
 
Schedule 3—Moist Snuff (Definition A) Tax on Units Above Floor, 150-605-013 (Rev. 06-10)
[Form]
 
Schedule 4—Moist Snuff (Definition B) Tax on Units at or Below Floor, 150-605-014 (Rev. 06-10)
[Form]
 
Schedule 5—Moist Snuff (Definition B) Tax on Units Above Floor, 150-605-018 (Rev. 06-10)
[Form]
 
Schedule 6—Cigar Tax on Cigars Subject to Cap, 150-605-015 (Rev. 06-10)
[Form]
 
Schedule 7—Cigar Tax on Cigars Below Cap, 150-605-016 (Rev. 06-10)
[Form]

 

First and second quarter schedules

Schedule 1—Tobacco Products Tax, 150-605-011 (Rev. 06-10)
[Form]
 
Schedule 2—Tax on Moist Snuff on Units At or Below Floor, 150-605-012 (Rev. 12-09)
[Form]
 
Schedule 3—Tax on Moist Snuff on Units Above Floor, 150-605-013 (Rev. 12-09)
[Form]
 
Schedule 4—Chewing Tobacco Tax, 150-605-014 (Rev. 12-09)
[Form]

Schedule 5—Cigar Tax on Cigars Subject to Cap, 150-605-015 (Rev. 12-09)
[Form]

Schedule 6—Cigar Tax on Cigars Below Cap, 150-605-016 (Rev. 12-09)
[Form]
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2009 Tax year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-08)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-08)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 12-08)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-08)
[Form]

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2008 Tax year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-07)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-07)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev. 12-07)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-07)
[Form]

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2007 Tax year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-06)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-06)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-06)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev 12-06)
[Form]

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2006 Tax year

Form 512, Oregon Monthly Tax Report for Nonexempt Cigarettes, 150-105-016 (Rev. 12-05)
[Form]
 
Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-05)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-05)
[Form]
 
Form 532, Oregon Quarterly Tax Return for Manufacturers Distributing Nonexempt Tobacco Products, 150-605-005 (Rev 12-05)
[Form]

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2005 Tax year

Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 10-05)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-04)
[Form]
 

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2004 Tax year

Form 514, Oregon Cigarette Consumer's Monthly Tax Report, 150-105-013 (Rev. 12-03)
[Form]
 
Form 531, Oregon Quarterly Tax Return for Consumer's Tobacco Products, 150-605-006 (Rev. 12-03)
[Form]
 

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To order other Oregon forms

To order forms, please contact us.
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Publications

The following publications provide an overview of the department's tobacco tax program. Tax forms are located in our tax forms section.

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