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Form Lbd 103 - Alcoholic Beverages For Consumption On The Premises - Tennessee Department Of Revenue - 2014

TENNESSEE DEPARTMENT OF REVENUE

ALCOHOLIC BEVERAGES FOR CONSUMPTION ON THE PREMISES

INTERNET (01-14)

RV-R0000101

(LIQUOR BY THE DRINK TAX)

LBD

FEIN

Filing

Due

103

Period

Date

ACCOUNT NO.

If this is an AMENDED RETURN

}

please check the box to the right

This return must be filed and the proper tax

paid on or before 15 days following the end

of the reporting period. THE RETURN

MUST BE FILED TIMELY EVEN IF NO

TAX IS DUE.

Make your check payable to the Tennessee

Department of Revenue for the amount

shown on Line 9 and mail to:

Tennessee Department of Revenue

Andrew Jackson State Office Bldg.

500 Deaderick Street

Nashville, TN 37242

REMINDERS

Read instructions and complete Schedule A on reverse side before preparing this return.

Transfer the amount reported on Line f of Schedule A to the Line 3 on the return.

Be sure to sign and date your return in the signature box on the front of the return.

ROUND TO NEAREST DOLLAR

WRITE NUMBERS LIKE THIS

(1)

TOTAL BEGINNING INVENTORY AMOUNT..................................................................................................

TOTAL ENDING INVENTORY AMOUNT........................................................................................................

(2)

(3)

GROSS SALES (Enter total from Line f, Schedule A, reverse side)...........................................................

(4)

TAXABLE BASE (Divide Line 3 by

; Sales tax rate is

)...............................................

(5)

TAX (

% of Line 4)............................................................................................................................

ENTER CREDIT AMOUNT (If applicable).....................................................................

(6)

PENALTY (If filed late, see instructions on reverse side).........................................

(7)

(8)

INTEREST (If filed late, see instructions on reverse side; current interest rate per annum is ___%)........

TOTAL AMOUNT DUE (Add Lines 5, 7, and 8; subtract Line 6 (credit) if applicable to determine amount

(9)

due

).............................................................................................................................................................

Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge and

belief, it is true, correct, and complete.

Date

Taxpayer's Signature

Signature of Preparer other than Taxpayer

Date

Phone Number

Tax Preparer's Address

Form Lbd 103 - Alcoholic Beverages For Consumption On The Premises - Tennessee Department Of Revenue - 2014

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