Form Liq-1 - Liquor Excise Tax Return-Nevada Department Of Taxation
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5NEVADA DEPARTMENT OF TAXATION
TID NO:
LIQUOR EXCISE TAX RETURN
(Enter the 10 digit Taxpayer ID# followed by the 3 digit location #)
Mail original to:
Nevada Department of Taxation
1550 College Parkway, Room 115
FOR MONTH ENDING
Carson City, NV 89706
:
DUE ON OR BEFORE:
If postmarked after the due date, penalty and interest will apply.
If the name or address shown is incorrect,
if the ownership or business location has changed,
or if you are out of business, notify the Liquor Excise
Tax Examiner in the Carson City District Office immediately.
A Return MUST Be filed Each Month Whether or Not Liquor Is Imported/Manufactured
MALT BEVERAGE
ALCOHOLIC BEVERAGES
OFFICE USE ONLY
TRANSACTIONS DURING
Keg or
Bottled or
Total Malt
.5% to 14%
14.1% to 22%
22.1% to 80%
THE MONTH IN GALLONS
Draught
Canned
Beverage
1. Total Imports into Nevada
Postmark:
2. Credit: Breakage, Loss- LIQ-2
3. Credit: Exports/Sales- LIQ-3
Ck. No:____________
4a. Credit: Military Sales- LIQ-4a
_________
_________
_________
_________
_________
__________
Date:_____________
4b. Credit: Airline Sales- LIQ-4b
$________________
5. TOTAL DEDUCTIONS
Initials:___________
6. TOTAL TAXABLE GALLONS
$ .16 per gal.
$ .70 per gal.
$ 1.30 per gal.
$ 3.60 per gal.
7. Tax Rates for liquor categories
$
8. Gross Tax (taxable gallons times tax rate)
-
9. Discount of 0.25% allowed if payment is postmarked on or before the 15
of the month following activity
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$
10. Adjusted Tax amount due and payable with this return
-
11. Less credits approved by the Department. Credit notification from the Department must be attached.
12. Penalty (see instructions for rate)
$
13. 1% interest per month due on payments postmarked after the 20
of the month
$
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14. Add Liabilities established by the Department
$
15. Total amount due and payable.
$
16. Total amount remitted with this return. MAKE CHECK PAYABLE TO THE NEVADA DEPARTMENT OF TAXATION
$
Should corrections or adjustments be necessary on previously filed monthly returns:
a.
On a copy of an incorrect return, indicate if it is an ‘Amended” return.
b.
Draw a single line through the figure that is to be adjusted.
c.
Enter the correct figure either above or below the figure that is to be corrected.
d.
Adjust extensions for corrected totals.
e.
Apply appropriate Penalty and Interest.
f.
Include a note describing the reason for the correction.
I hereby certify that this return, including all attached schedules has been examined by me and to the best of my knowledge and belief is a
true, correct and complete return; that I am the Importer, Manufacturer, or Officer of the above business and duly qualified and authorized to
verify this return.
Reported By....................................................................................
Signed ..................................................................................................................
Checked by....................................................................................... Title ......................................... Phone No........................................................
-1-
LIQ-1
(12-08)
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