The personal information on this form is being collected under the authority of the Tobacco Tax Act.
The information will be used for the purposes of tax administration and enforcement.
If you have any questions regarding the collection of and use of this information, please contact Program Services, Department of Finance, P.O. Box 3000, Fredericton, NB E3B 5G5.
Phone: 1-800-669-7070 or e-mail email@example.com.