Form Dr 0442 - Monthly Report Of Excise Tax For Alcohol Beverages - Colorado Dept Of Revenue

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Departmental Use Only
DR 0442 (12/29/09)
MONTHLY REPORT OF
COLORADO DEPT OF REVENUE
DENVER CO 80261
EXCISE TAX FOR ALCOHOL BEVERAGES
(303) 205-8211 EXT. 6848
Are you paying your taxes by EFT?
Yes
No
RETURN THIS COPY
Show change of
ownership, name
PHOTOCOPY AND KEEP COPY FOR
and/or address here.
YOUR RECORDS
USE ACCOUNT NUMBER FOR
PERIOD
LIABILITY INFORMATION
MAKE REMITTANCE
DUE DATE
COVERED
All REFERENCE
PAYABlE TO:
Cnty
City
Type
liability Date
COLORADO DEPARTMENT
OF REVENUE
LT
(1800-100)
(1820-100)
(1810-100)
(1860-100)
(1840-100)
VINOUS lIQUOR
HARD CIDER
MAlT lIQUOR
3.2% BEER
SPIRITUOUS lIQUOR
(lITERS)
(lITERS)
(GAllONS)
(GAllONS)
(GAllONS)
....................................................
1. Beginning inventory
2. Manufactured in Colorado (Manufacturers only)
.................
alternating proprietors attach form DR 0447
........
3. Purchased tax not included, attach form DR 0445
..............
4. Purchased tax included, attach form DR 0445
5.
...............................................
Total lines 1,2,3, and 4
6.
.........................................................
Ending inventory
7.
line 5 minus line 6
.....................................................
8.
Tax exempt dispositions:
.........................
(a) Export sales, attach form DR 0443
(b) Sales exempt by federal law .....................................
(c) Destruction
(d) Total tax exempt. Add lines 8(a), 8(b) and 8(c)
9. Taxable liters/gallons, line 7 minus line 8(d) .................
10. Sales included in line 9 previously taxed .....................
11. Tax due liters/gallon sold, line 9 minus line 10 ...........
$
.0733
$
.6026
$
.08
$
.08
$
.08
12. Tax rate
....................................................................
13. Tax:
$
$
$
$
$
..........................
(100)
(a) line 11 multiplied by line 12
1865-100 (100)
$
......
(b) Wine development fee 1¢/liter
(c) CO winery surcharge (send form DR 0450)
$
1866-100 (100)
..........................................................................
$
$
1867-100 (100)
......
(d) CO grape/produce $10.00/ton
$
$
$
$
$
(e) Total tax, add lines 13(a) through 13(d)
.................
(200)
14. Penalty @ 10% .....................................................
(300)
15. Interest @ 1% per month ......................................
$
$
$
$
$
16. Total due, Add lines 15, 16, and 17 ..............................
The State may convert your check to a one time electronic banking transaction. Your bank account may be debited as early as
the same day received by the State. If converted, your check will not be returned. If your check is rejected due to insufficient or
uncollected funds, the Department of Revenue may collect the payment amount directly from your bank account electronically.
$
(355)
17. TOTAL REMITTANCE, ALL COLUMNS ...............................................................................
PLEASE INCLUDE THE ACCOUNT NUMBER ON YOUR CHECK TO ENSURE PROPER CREDIT
I hereby certify under penalty of perjury that the statements made herein, and on supporting documents, are true and correct to the best of my knowledge.
Signature of Agent or Officer
Date
Title
Telephone Number

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