Cook County Cigarette Tax Stamp Purchase Order Form

FillingPDF is not affiliated with, endorsed by, or connected to the Cook County. Get the official form from the Cook County website.

Cook County Cigarette Tax Stamp Purchase Order Form

The Cook County Cigarette Tax Stamp Purchase Order Form is the Cook County Department of Revenue form a Wholesale Tobacco Dealer completes to buy cigarette tax stamps. Fill it out online on FillingPDF and download or print the completed PDF.
2 pages
Page 1 of 2
Page 2 of 2
Click a highlighted field to fill it in. Your data is deleted after 7 days.

The Cook County Cigarette Tax Stamp Purchase Order Form is the order form of the Cook County Department of Revenue (CCDOR) for buying Cook County cigarette tax stamps. It is completed by the Wholesale Tobacco Dealer and lists each stamp type on sale, the quantity ordered, the tax due on each line and the method of delivery. On FillingPDF you can fill out the form online and download or print the completed PDF; the Department receives the order at its Chicago address, and the PDF itself is published on the Cook County website.

Last updated

What is Cook County Cigarette Tax Stamp Purchase Order Form?

The Cook County Cigarette Tax Stamp Purchase Order Form is the Cook County Department of Revenue (CCDOR) form that a Wholesale Tobacco Dealer completes to order Cook County cigarette tax stamps, showing the stamp types, quantities, tax due and the method of delivery.

The county publishes it among its Cigarette Tax Forms, under the Tobacco Tax ordinance that taxes the retail sale of cigarettes, other tobacco products and consumable vapor products within Cook County. The form is an order sheet: stamp types are pre-printed, and you enter how many rolls or sheets you want, work out the number of stamps and the tax due, and total the order.

The stamp types listed are county-only stamps and combined county/municipality stamps for Cicero and Evanston, each in 20 pack and 25 pack versions, sold on rolls and sheets. Two columns, the serial numbers and the allocation code, are completed by the Department only. The form ends with an authorization signed by the purchaser.

It is not a tax return and not a refund request. The county has separate forms for those: the Cigarette Tax Return 2707, a self-pay form for cigarettes bought where no Cook County cigarette tax was paid, and the Cook County Cigarette Tax Stamp Refund Claim Form, for unused stamps, stamps affixed to packages returned to a manufacturer, or replacement of stamps.

Who needs to file Cook County Cigarette Tax Stamp Purchase Order Form?

The main group is the Wholesale Tobacco Dealer. The county's Tobacco Tax page says this form must be completed by the Wholesale Tobacco Dealer in order to purchase Cook County tax stamps.

  • The form asks for your Cook County Registration No., so the purchaser is expected to be registered with the Department. The county's Home Rule Tax Registration Application is the form used to become a registered Wholesale Tobacco Dealer, Consumable Vapor Product Wholesaler or Retail Cigarette Manufacturer.
  • The person who signs the authorization certifies, under penalties provided by law, that he or she is authorized to purchase the tax stamps and pay the total amount of tax due.
  • A contact person, with title and contact number, is named on the form, so the purchaser can designate someone other than the signer for questions about the order.

Do not use this form to ask for a refund or replacement of stamps, or to pay tax on cigarettes bought online, by mail or by phone; the county has separate forms for those situations.

When to file Cook County Cigarette Tax Stamp Purchase Order Form

Complete the form each time a Wholesale Tobacco Dealer wants to purchase Cook County tax stamps; the county page ties it to that purchase. No separate due date is printed on the form or on the county's Tobacco Tax page.

Plan the delivery method when you order: the form asks you to mark pick up or ship to. The pickup date and ship date are office-use entries that the Department completes. Date the authorization when you sign it, and note that the Department's received stamp (date received by CCDOR) is added when the order reaches the office.

Documents you need

  • A cashier's check payable to Cook County Collector for the total amount of tax due on line (9); the form prints this payment instruction at the top.

How to fill out Cook County Cigarette Tax Stamp Purchase Order Form

  1. Enter purchaser name and registration number

    Write the PURCHASER'S NAME and your COOK COUNTY REGISTRATION NO. in the top block.

  2. Add address and contact details

    Fill in the street address, city, state and ZIP, then the contact person, title and contact number.

  3. Select the delivery method

    Mark PICK UP or SHIP TO. If you choose SHIP TO, complete the shipping information, including the purchaser account number and the carrier.

  4. Enter roll or sheet counts

    Column (1) lists the tax stamp types. In column (2), enter the number of rolls and/or sheets you want to buy of each type; leave unused types blank.

  5. Calculate the stamp count

    Column (3) shows the fixed number of stamps on each roll or sheet. In column (4), multiply column (2) by column (3) for each type you order.

  6. Work out the tax due per line

    Column (5) shows the standard per-stamp tax rate. In column (6), multiply column (4) by column (5).

  7. Leave Department columns blank

    Columns (7) and (8), serial numbers and allocation code, and the OFFICE USE ONLY boxes are completed by the Department of Revenue only.

  8. Total the order

    On line (9), TOTAL AMOUNT OF TAX DUE, enter the sum of column (6).

  9. Sign and date the authorization

    Sign on the AUTHORIZATION SIGNATURE line and enter the date, certifying you are authorized to purchase the stamps and pay the total tax due.

  10. Review and download the completed PDF

    Check every multiplication and the line (9) total, then download or print the completed PDF from FillingPDF and deliver it with your cashier's check as described under How to submit.

How to submit Cook County Cigarette Tax Stamp Purchase Order Form

The form is delivered to the Cook County Department of Revenue by mail or in person; it prints one address for both.

  • Mail-in or walk-in: Cook County Department of Revenue, Cigarette Tax, 118 N. Clark St. Room 1160, Chicago, IL 60602.
  • Payment: the form says to make a cashier's check payable to Cook County Collector. The total comes from line (9), Total Amount of Tax Due; the county's Department of Revenue can confirm current rates.
  • Getting the stamps: mark PICK UP or SHIP TO on the form. For shipping, fill in the shipping information, including the carrier. The form warns that the Department is not responsible for tax stamps lost in transit.

The form names no online or email channel for the order. FillingPDF lets you fill out and download the PDF; submission follows the channels above.

Common mistakes to avoid

  • Filling in columns (7) and (8), the serial numbers and allocation code; the instructions say the Department of Revenue completes them only.
  • Entering column (4) without multiplying column (2) by column (3), so the stamp count does not match the rolls or sheets ordered.
  • Computing column (6) from the wrong figures instead of multiplying column (4) by column (5).
  • Entering a line (9) total that is not the sum of column (6).
  • Paying with something other than a cashier's check, or making it payable to someone other than Cook County Collector.
  • Leaving out the Cook County Registration No. or the purchaser's contact information.
  • Marking SHIP TO without completing the shipping information, or forgetting that the Department is not responsible for stamps lost in transit.
  • Submitting the order without the authorization signature and date.

Frequently asked questions

What is the Cook County Cigarette Tax Stamp Purchase Order Form?

It is the Cook County Department of Revenue form used to order Cook County cigarette tax stamps. A Wholesale Tobacco Dealer lists the stamp types, quantities and tax due, chooses pick up or shipping, and signs an authorization to purchase the stamps and pay the total.

Who has to complete the cigarette tax stamp purchase order form?

The Wholesale Tobacco Dealer. The county's Tobacco Tax page says the form must be completed by the Wholesale Tobacco Dealer to purchase Cook County tax stamps, and the form asks for the dealer's Cook County Registration No.

Where do I deliver the Cook County cigarette tax stamp purchase order?

Mail it or walk it in to Cook County Department of Revenue, Cigarette Tax, 118 N. Clark St. Room 1160, Chicago, IL 60602. The form prints this single mail-in/walk-in address and names no online channel.

How do I pay for the tax stamps?

The form says to make a cashier's check payable to Cook County Collector. The amount is the total on line (9), the sum of column (6). Ask the Department of Revenue for current rates if you need to confirm them.

Can I fill out this form online?

You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is independent of Cook County and does not submit the order; you deliver it, with your cashier's check, to the Department of Revenue.

Is this a Cook County property tax form?

No. This form orders cigarette tax stamps under the county's Tobacco Tax program, and it is issued by the Cook County Department of Revenue. It has nothing to do with Cook County property tax bills.

Which columns do I leave blank?

Columns (7) and (8), serial numbers and allocation code, plus the OFFICE USE ONLY areas such as date received, order number, pickup date and ship date. The instructions say the Department of Revenue completes them only.

What if I need a refund for unused cigarette tax stamps?

Use a different form: the Cook County Cigarette Tax Stamp Refund Claim Form. The county says it covers unused tax stamps, stamps affixed to packages of cigarettes returned to a manufacturer, and replacement of stamps.

Who is responsible if shipped stamps are lost?

Not the Department. The form states that the Cook County Department of Revenue is not responsible for tax stamps lost in transit, which matters if you mark SHIP TO instead of PICK UP.

Ready to fill out Cook County Cigarette Tax Stamp Purchase Order Form?

Fill out Cook County Cigarette Tax Stamp Purchase Order Form now