Form Bt-7 Schedule C - Alcoholic Beverages Tax 2001

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Form BT-7
STATE OF CONNECTICUT
Schedule C
DEPARTMENT OF REVENUE SERVICES
PO Box 5034
Alcoholic Beverages Tax
Hartford CT 06102-5034
Alcoholic Beverages Shipped Outside of Connecticut
Rev. 04/01
Shipments made into the State of _______________________________
For the month of ____________________________ , _______________
Name of Distributor: ____________________________________________
Address: ________________________________________
1. Use this schedule when completing Form O-255, Wholesale Alcoholic Beverages Tax Return .
2. Use this schedule to report each shipment, including returns, of alcoholic beverages to a point outside the State of Connecticut during the month listed above.
3. Do not include alcoholic beverages that were not shipped outside the State of Connecticut.
4. Use a separate schedule for each state into which shipments or returns were made during the month listed above.
5. This schedule must be filed in duplicate.
STILL WINES
DISTILLED
FORTIFIED
ALCOHOL AND
LIQUOR COOLER
BEER
Not Over 21% Alcohol
NAME AND ADDRESS
LIQUOR
WINES
COMPONENTS
Not Over
Wine Gallons
of person, firm, or corporation to whom
DATE
INVOICE
Over 21%
Wine Gallons
for Manufacturing
7% Alcohol
Produced by
Produced by
Convert Draft
All Other
Alcohol
alcoholic beverages were shipped or
SHIPPED
NUMBER
Wineries That
Small Wineries
Proof Gallons
Wine Gallons
Size to bbls.
Containers
and SPARKLING
Are Not Small
(Producing
returned
WINES
Wineries
55,000 Wine Gal.
Barrels
Wine Gallons
or less per year)
Wine Gallons

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