Form Ld-1 - Liquor Drink Tax Return
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1LD-1
KANSAS DEPARTMENT OF REVENUE
DIVISION OF TAXATION
Liquor Drink Tax Return
(Rev. 8/15)
Return for _____________________________ file and pay tax by _____________________ .
TAX ACCOUNT NUMBER __________________________
1. Gross receipts from all retail sales ...................................................................................... $_________________________
2. Gross receipts from the sales of alcoholic liquor ................................................................
$_________________________
NEW OWNERS
3. Tax due on alcoholic liquor sales (multiply line 2 by 10%)..................................................
$_________________________
DO NOT USE
PREVIOUS
4. Tax due on free samples (multiply acquisition cost of liquor in free samples by 10%)......
$_________________________
OWNERS FORM
5. Total tax due (add lines 3 and 4)......................................................................................
$_________________________
6. Penalty and interest (see instructions).................................................................................. $_________________________
7. Total due (add lines 5 and 6) ............................................................................................. $_________________________
If zero sales this filing period write “NO SALES”
I declare under the penalties of perjury that this is a true, correct and complete return.
SIGNATURE ____________________________________________________
Daytime phone number____________________________________________
Mail return and payment to: MISC. TAX SECTION, KANSAS DEPARTMENT OF REVENUE, 915 SW HARRISON ST, TOPEKA KS 66612-1588
Detach and send with payment
Instructions for Liquor Drink Tax Return (LD-1)
GENERAL INFORMATION
• The due date is the 25th day of the month following the date printed on this return. You must file a return even if there were no taxable sales.
• Keep a copy of your completed return for your records.
• Sign your return and provide a daytime phone number.
• Be sure your check or money order contains your tax account number and a daytime phone number.
• Mail your return and payment to: Miscellaneous Tax, Kansas Department of Revenue, 915 SW Harrison St., Topeka, KS 66612-1588.
• If you have questions contact our office at 785-368-8222 or visit our website at .
LINE BY LINE INSTRUCTIONS
Line 1 – Gross receipts from all retail sales. Enter the total gross receipts from all retail sales collected this tax period.
Line 2 – Gross receipts from the sales of alcoholic liquor. Enter the total gross receipts from the sales of alcoholic liquor this tax period.
Line 3 – Tax due on alcoholic liquor sales. Multiply amount on line 2 by 10%.
Line 4 – Tax due on free samples. Liquor drink tax is due on the acquisition cost of the alcoholic liquor used in serving free samples. Multiply this
cost by 10% and enter the total on line 4.
Line 5 – Total tax due. Add lines 3 and 4 and enter result.
Line 6 – Penalty and interest. If you are filing a late return, enter the amount of penalty and interest due. See our web site for current rates.
Line 7 – Total due. Add lines 5 and 6 and enter result. Write your tax account number and your daytime phone number on your check or money order
and make payable to Kansas Liquor Drink Tax. Detach and mail your return, along with payment for the amount on line 7, to the address
shown above.
Notice of Change in Business
If any of the following information has changed, complete this form and return it to the Kansas Department of Revenue at the address shown above.
1.
Name as shown on tax return ___________________________________________________________________________________________
2.
Tax account number as shown on tax return ________________________________________________________________________________
3.
If the ownership has changed within monthly period, provide the following information:
Name of new owner: ________________________________________________________________
Date of Change: __________________
4.
If the business was discontinued permanently within the period covered by this return, provide the date of closing:_________________________
5.
If the business location was changed, provide the new address: ________________________________________________________________
6.
If the trade name has changed, provide the new trade name:___________________________________________________________________
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Parent category: Financial