New Market, VA · Shenandoah County

No notary required

Cigarette Tax Stamp Order Form

Wholesalers use this form to order cigarette tax stamps and provide shipping, billing, and retailer information to the Town of New Market.

What this form is

This order form lets wholesalers request machine-applied cigarette tax stamps and list the retailers they serve. It asks for wholesaler, shipper, and retailer contact and account details, along with the stamp quantity. The form states that orders must be prepaid and that the wholesaler is responsible for any shipping costs.

Who needs it

Wholesalers ordering cigarette tax stamps for retailers they serve need to provide the requested wholesaler, shipper, retailer, and order information.

How to submit it

Pre-payment of orders is required, and the wholesaler is responsible for any shipping costs. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This order form is completed without a notary; it requests prepayment and lists no notarized attachment or sworn step.

How to submit this form

  1. 1

    Download the Form

    Download the Cigarette Tax Stamp Order Form PDF.

  2. 2

    Complete the Order Details

    Fill in the wholesaler, shipper, retailer, and stamp quantity information requested.

  3. 3

    Prepare Prepayment

    Prepayment is required; the wholesaler is also responsible for any shipping costs.

  4. 4

    Submit the Form

    Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What information does the Cigarette Tax Stamp Order Form request?
It requests wholesaler, shipper, and retailer information, including trade names, addresses, contact details, and an account number to charge. It also asks for stamp quantities.
Do I need a notary for the Cigarette Tax Stamp Order Form?
No. The form has no notary block and lists no notarized attachment or sworn step.
How do I submit the Cigarette Tax Stamp Order Form?
The form requires prepayment and says the wholesaler is responsible for shipping costs. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Cigarette Tax Stamp Order Form doesn’t need a notary — but if you have another New Market form that does, a commissioned online notary can help.