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Michigan Department of Treasury
Report Year
2666 (Rev. 8-09)
2009
Michigan Unredeemed Beverage Container Deposit Report
Issued under authority of P.A. 148 of 1989.
This report is for calendar year 2009. (It is due on or before March 1, 2010.)
1.
Complete Company Name (include, if applicable, Corp., Inc., P.C., L.L.C., etc.)
2. Account Number (FEIN)
Business Name, Assumed Name or DBA (if used)
3. Telephone Number
Address (Number and Street or P.O. Box)
City, State, ZIP Code
Under Public Act 148 of 1989, distributors and manufacturers of beverages sold in returnable containers under the
Michigan Mandatory Deposit Law must file annual reports and pay all unredeemed beverage container deposits to the
Michigan Department of Treasury. The reports must state:
• The total value of deposits originated on beverage containers sold in Michigan. "Originated" means that you
have not paid a deposit to another manufacturer or distributor -- the deposit started with you.
• The total value of refunds made on redeemed returnable containers for which deposits were originated. See
Michigan Compiled Laws (MCL) section 445.571 for the definition of returnable container.
Note: If you purchased/sold returnable containers you must complete the back of this form before you can
determine if you owe money.
$
4.
Enter the total dollar value of deposits you originated in 2009
4.
$
5.
Enter the total dollar value of containers you sold (from back of form)
5.
$
6.
Add lines 4 and 5 and enter the total here
6.
$
7.
Enter the total dollar value of refunds you made in 2009
7.
$
8.
Enter the total value of containers you purchased in 2009 (from back of form)
8.
$
9.
Add lines 7 and 8 and enter the total here
OVERREDEEMER
9.
If line 9 is greater than line 6 you are an overredeemer. Subtract line 6 from line 9
10.
and enter here. This overredeemer credit may be carried forward for 3 years or
until the credit is depleted, whichever occurs first. If you have a credit on this line
$
you do not need to complete lines 12-14.
CREDIT
10.
Overredeemer Credit(s) carried forward from prior years:
11.
$
11a.
Enter amount of credit from report year 2006 here
11a.
$
11b.
Enter amount of credit from report year 2007 here
11b.
$
11c.
Enter amount of credit from report year 2008 here
11c.
Note: If this is your second report as an underredeemer, you may apply the credit(s) to the amount due on
this report. Unused credits may be carried forward for three years or until depleted, whichever occurs first.
Add lines 11a, 11b and 11c and enter here
12.
12.
If line 9 is less than line 6 you are an underredeemer. Subtract line 9
13.
from line 6 and enter the amount here
13.
Subtract line 12 from line 13 and enter the difference here. If less than 0 enter 0.
14.
This is the amount due
PAY THIS AMOUNT
14.
Make check payable to the "State of Michigan."
Write your account number and the words "unredeemed deposits" on your check.
The undersigned certifies that the above information is true and complete.
Signature of Taxpayer or Authorized Agent
Date
Preparer's Signature
Date
Print or Type Name of Taxpayer or Authorized Agent
Telephone Number
Print or Type Name of Preparer
Telephone Number
If you have questions, you may contact the Return Processing Division, Bottle Deposit Section at 517-636-4730. Persons
who have hearing or speech impairments may call (517) 636-4999 (TTY).
Mail to: Michigan Department of Treasury
Return Processing SUW-Bottle Deposit Section
P.O. Box 30427
Lansing, MI 48909-7927