Form Et-83 - Ohio Beer & Malt Beverage Tax Return printable pdf download

Form Et-83 - Ohio Beer & Malt Beverage Tax Return

Excise Tax Form

ET-83 (Rev. 2/01)

P.O. Box 530= Columbus, OH 43216-0530

Ohio Beer & Malt Beverage Tax Return

Return is due on or before the 10th day of

Reporting Period

the month following the reporting period.

For Treasurer of State

For month of:

, 20 ____

Use Only

Account Number __________________________________________________

Name __________________________________________________________

Address ________________________________________________________

City ________________________________ State __________ Zip _________

1. Schedule A Line 3

2. Schedule B Line 3

3. Total Beer & Malt Beverage tax liability (Total of lines 1 and 2)

4. Monthly advance tax payment received by Treasurer of State

on or before 18th day of report period

5. If Line 3 exceeds Line 4 enter difference here

6. If Line 3 exceeds Line 4 enter 10% of Line 4

7. Discount (enter 3% of Line 5 or 6, whichever is smaller)

8. If Line 4 exceeds Line 3 enter difference here

9. Monthly advance tax payment received by Treasurer of State

between the 19th and last day of report period

10. Credit balance, if any, from previous return

11. Additional credit (enter 3% of Line 4)

12. Total of Lines 7, 8, 9, 10 and 11

13. Tax due, if any. (If Line 5 exceeds Line 12, enter difference here.)

14. Credit balance, if any. (If Line 12 exceeds Line 5, enter

difference here and carry forward to Line 10 of next return.)

I declare under penalties of perjury that this return (including any accompanying sched-

Check or money order must be made payable

ules and statements) has been examined by me and to the best of my knowledge and

and received by the Treasurer of State of

belief is a true, correct and complete return and report.

Ohio, P.O. Box 16763, Columbus, OH 43216-

6763 together with this report on or before the

10th day of the month following this report

period.

Date

Authorized Signature

Form Et-83 - Ohio Beer & Malt Beverage Tax Return