Form Au-933 - Alcoholic Beverages Tax Alcoholic Beverages Shipped Into Connecticut

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orm m m m m A A A A A U-933
U-933
U-933
U-933
U-933
STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
Alcoholic Beverages Tax
Excise/Public Services Taxes Subdivision
25 Sigourney Street
Alcoholic Beverages Shipped Into Connecticut
Hartford CT 06106-5032
Rev. 06/01
For the month of _______________________________________________________ , __________
Name of Distributor: ____________________________________________
Address: ________________________________________
1. This form is to be filed with the Department of Revenue Services on or before the tenth day of the month following the month in which the sales listed were made.
2. A copy must be sent to the Department of Consumer Protection, Attn: Liquor Control Division, 165 Capitol Avenue, Hartford, CT 06106.
LIQUOR COOLERS
STILL WINES
DISTILLED
FORTIFIED
ALCOHOL AND
BEER
Not Over 21% Alcohol
Not Over
NAME AND ADDRESS
LIQUOR
WINES
COMPONENTS
Wine Gallons
7% Alcohol
of person, firm or corporation to whom
DATE
INVOICE
Over 21%
Wine Gallons
for Manufacturing
Produced by
Produced by
Convert Draft
All Other
Alcohol
Wine Gallons
alcoholic beverages were sold
SHIPPED
NUMBER
Wineries That
Small Wineries
Proof Gallons
Size to bbls.
Containers
and SPARKLING
Are Not Small
(Producing
(must be a Connecticut address)
WINES
Wineries
55,000 Wine Gal.
Barrels
Wine Gallons
or less per year)
Wine Gallons

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