Form Le-3r - Liquor Enforcement Tax Return (Page 2 of 2) in pdf

KANSAS DEPARTMENT OF REVENUE

DIVISION OF TAXATION

NOTICE OF CHANGE IN BUSINESS

1. Name as shown on Tax Return _______________________________________________________________________________

2. Registration number as shown on Tax Return

___________________________________________________________________

3. If Ownership has changed within monthly period, please give the following information:

Name of New Owner ______________________________________________________

Date of Change: _________________

4. If business was discontinued permanently within the period covered by this Return, please give the date of closing _____________

5. If business location was changed, please give the new address

_____________________________________________________

6. If trade name has changed, please give the new trade name ________________________________________________________

Signature ________________________________________________

GENERAL INSTRUCTIONS

Each month you will receive your pre-addressed liquor enforcement tax return during the final week of business for the month. You must file your return on

or before the 25th day following the month for which tax is due. (Example: For the month of September, you will receive your pre-addressed return during

the last week of that month. The return for September must be filed and the tax due must be paid on or before October 25th.) Any return filed after the due

date will be considered "delinquent" and will be assessed penalty and interest.

PENALTY AND INTEREST: Penalty and interest are due if the return is not filed by the due date. Penalty - If filing a delinquent return, enter the amount of

penalty due. Interest - If filing a delinquent return, enter the amount of interest due. Information regarding the current and/or prior interest/penalty rates can

be obtained from our web site:

or call 785-368-8222.

If you do not receive a pre-addressed return during the last week of the month, contact Customer Relations-Forms/Correspondence, Kansas Department of

Revenue, 915 SW Harrison St., Topeka, Kansas 66625-1712, or call our Forms Line at (785) 296-4937.

Be sure to check the name, address and registration number on the pre-addressed return for accuracy. If there has been a change in business since you

last filed your return or it is incorrectly listed, fill out the attached "Notice of Change in Business" form and use the return envelope provided.

Use the copy of the return on the reverse side of these instructions as a worksheet to prepare your liquor enforcement tax return. Transfer all entries from

this form to your Liquor Enforcement Tax Return (LE-3) and keep this copy for your records.

Be sure the tax return has been signed. Send completed return together with remittance for the correct amount due to Kansas Miscellaneous Tax, Kansas

Department of Revenue, 915 SW Harrison St., Topeka, Kansas 66625-5000.

Make remittance in the form of check, draft, or money order, payable to Kansas Liquor Enforcement Tax. DO NOT send cash or postage stamps.