Form Lct - Quarterly Common Carrier Tax Report 2008
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1
2MONTANA
LCT
Rev. 08-08
Quarterly Common Carrier Tax Report
For Distilled Spirits Served In/Over Montana
Name of Common Carrier ______________________________________________________________
Address of Common Carrier _____________________________________________________________
Address ____________________________________________________________________________
City, State Zip ________________________________________________________________________
1. FEIN:
2. Account ID:
3. Quarter Ending: _____________________________
4. If this is an amended return, check here.
Due: ______________________________________
6. If your address has changed, check this box
and
print your new address below:
5. If you are no longer in business and want your
_________________________________________
account cancelled, check this box
and enter your
fi nal date of operations here. ___________________
_________________________________________
Type
Quantity Served
Tax Rate
Total
7. * 50 ML = 1 Miniature = 1.7 Ounces ............................................ 7.
$
0.61
$
8. 750 ML = 14.94 Miniatures = 25.4 Ounces ................................. 8.
9.11
9. 1 Liter = 19.88 Miniatures = 33.8 Ounces ................................... 9.
12.13
10. Total Tax Due (line 7 + line 8 + line 9) .......................................................................................... 10. $
* Actual number of miniatures or number from apportionment formula
If apportionment formula is used to compute Montana servings, please furnish the following information:
A. Total miniatures served system wide ..............................................................................................A.
B. Total number of departures system wide or revenue miles ............................................................B.
C. Average miniatures served per departure or revenue miles (line A divided by line B) .................. C.
D. Number of Montana departures or Montana revenue miles .......................................................... D.
E. Number of miniatures served in / over Montana based on the apportionment
formula (line D x line C). Enter here and on line 7..........................................................................E.
I hereby swear or affi rm under penalty of perjury that the statements contained herein are true to the best of my
knowledge.
Signature ________________________________________________________
Title _______________________________________________ Phone _______________ Date ___________________
Mail this return to:
Department of Revenue, PO Box 1712, Helena MT 59624-1712
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