Form Lm1 9001 - Bottle Fee Return - 2013
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1DELAWARE DIVISION OF REVENUE
*DF52013019999*
BOTTLE FEE RETURN - FORM LM1 9001
ACCOUNT NUMBER
FEE PERIOD ENDING
DUE ON OR BE FORE
BUSINESS CODE GROUP DESCRIPTION
0-000000000-000
01-31-13
02-20-13
407 BOTTLE FEE
Reset
00280106000000000000001311302201300000000004070000000
Print Form
BUSINESS NAME AND ADDRESS
_________________ X $0.04 = $________________
0.00
NUMBER OF BEVERAGE CONTAINERS SOLD
$
0.00
AMOUNT DUE
Mail This Form With Remittance Payable To:
AUTHORIZED SIGNATURE
I declare under penalties of perjury, that this is
DATE
TELEPHONE NUMBER
Delaware Division of Revenue
a true, correct and complete return.
P.O. Box 2340, Wilmington, DE 19899-2340
For questions, call (302) 577-8780
E-MAIL ADDRESS
CUT ALONG THIS LINE AND SEND THE ABOVE PORTION WITH ANY PAYMENT DUE
BOTTLE FEE RETURN - MONTHLY
Complete the return above, sign, date and file by the due date.
To Update Your Contact/Business Information on File with Revenue:
Remit a License Request for Change form
To Change Information You’ve Already Reported:
Remit an Amended return
SPECIFIC LINE INSTRUCTIONS
Line 1. - Enter the total amount of Beverage Containers Sold for the month where indicated on the return.
Line 2. - Multiply this amount by $0.04 and enter the result in the Amount Due block.
Line 3. - This is the amount due and payable with the filing of this return. Sign and date the return and provide your telephone number.
Cut along the line provided and mail the form with remittance due to the address on the return.
If you have not already renewed this year’s business license, do it now to avoid a $200 penalty.
Go to
to renew your business license online!
SAMPLE COMPLETED RETURN
BOTTLE FEE
12,500
500.00
_________________
X
$0.04
=
$_____________
NUMBER OF BEVERAGE CONTAINERS SOLD
500
$
.00
AMOUNT DUE
Monthly Returns are due on or before the 20th day of the month following the end of the fee period.
MONTH END
DUE DATE
MONTH END
DUE DATE
MONTH END
DUE DATE
MONTH END
DUE DATE
01/31/2013
02/20/2013
04/30/2013
05/20/2013
07/31/2013
08/20/2013
10/31/2013
11/20/2013
02/28/2013
03/20/2013
05/31/2013
06/20/2013
08/31/2013
09/20/2013
11/30/2013
12/20/2013
03/31/2013
04/22/2013
06/30/2013
07/22/2013
09/30/2013
10/21/2013
12/31/2013
01/21/2014
For questions or to speak with a customer service representative, please call (302) 577-8780.
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