Form Bt-22-(4) - Alcoholic Beverages Tax Inventory Report Of Alcoholic Beverages - 2001

STATE OF CONNECTICUT

Form BT-22-(4)

This Page No. __________

DEPARTMENT OF REVENUE SERVICES

Operations Division

Last Page No. __________

Alcoholic Beverages Tax

PO Box 5031

Hartford CT 06105-5031

Inventory Report of Alcoholic Beverages

(Rev. 09/01)

Liquor Control

Connecticut Tax

Name ___________________________________________________________________________ Permit Number _______________________________ Registration Number _______________________

Use this form to convert all containers of less than 1/4 barrel or less than seven wine gallons into wine gallons. After making the conversion, complete Form BT-22, Summary of

Inventory of Wholesalers and Manufacturers .

Distilled Liquors

Whiskey–Gin–Rum–Brandy–Vodka–Liqueurs–Cordials–Cocktails and Similar Compounds Containing Distilled Spirits

A. Common Sizes

1.75 Liter

1.0 Liter

750 ML

500 ML

375 ML

200 ML

50 ML

Computation for Other Sizes

(Containers per Case)

(6)

(12)

(12)

(24)

(24)

(48)

(96)

Column 1

Column 2

Column 3

Column 4

Column 5

Column 6

Column 7

Column 8

Column 9

Column 10

Column 11

Column 12

Wine Gallon

Total

Number

Number

Number

Number

Number

Number

Number

Number

Brand Names

Wine Gallons

of Cases

of Cases

of Cases

of Cases

of Cases

of Cases

of Cases

Size

of Cases

Multiplier

Col. 9. Enter size of container

Col. 10. Enter total number of cases of each brand

B. Total Cases

Col. 11. Enter wine gallon multiplier

(And Fractional Parts)

Col. 12. Enter total wine gallons (Col. 10 x Col. 11)

Line C

C. Wine Gallon Multiplier

2.7738

3.1701

2.3775

3.1701

2.3775

2.5361

1.2680

(Enter total of Column 12 here)

D. Total Gallons

Line D

(Line B x Line C = Line D)

(Total gallons Columns 2 to 8 inclusive)

E. Total Wine Gallons Brought Forward

(From preceding page, Line F, if any)

(Column 12, Lines C, D, and E. If subtotal, forward to next page, Line E.

F. Cumulative Total

If grand total, forward to Form BT-22, Line 4.)