Form S&bt - Payment Of Taxes Due On The Importation Of Alcoholic Beverages Page 2

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FORM S&BT INSTRUCTIONS
GENERAL INSTRUCTIONS
You must attach an original or a photocopy of the invoice or numbered slip that was issued at the time of purchase.
SPECIFIC INSTRUCTIONS
Complete Schedule A (below).
On Lines 1 through 5, Column E, enter the amount that you paid for the untaxed alcoholic beverages including
shipping and handling charges.
If you paid sales or use tax to another jurisdiction on your purchase of untaxed alcoholic beverages, enter on
Line 8 the amount of sales or use tax paid to the other jurisdiction as long as the invoice or slip shows the amount
of tax paid to the other jurisdiction.
You must complete this form and file it with the Department of Revenue Services at the above address, together with
either Form BT-100, Application for Permission to Import Alcoholic Beverages from Within the United States for Personal
Consumption , or Form BT-101, Application for Permission to Import Alcoholic Beverages from Outside the United States
for Personal Consumption, in order to import alcoholic beverages from outside Connecticut.
SCHEDULE A
A
B
C
D
E
QUANTITY
DESCRIPTION OF ALCOHOLIC BEVERAGE IMPORTED
DATE OF
GROSS
SALES OR USE
PURCHASE
PURCHASE PRICE
TAX PAID
(Enter Brand Name and Type)
(Include shipping and
(Enter amount and
handling charges)
jurisdiction to which paid)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
$
TOTAL (Should agree with Line 6, Column E)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
TOTAL (Should agree with Line 8, Column D)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
$
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7 8
S&BT Back (Rev. 07/00)

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