Form M-18 - Combined Monthly Return Of Liquor Tax And Report Of Wine Gallons And Dollar Volume Of Taxable Sales Or Uses

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THIS SPACE FOR DATE RECEIVED STAMP

FORM

STATE OF HAWAII — DEPARTMENT OF TAXATION

M-18

COMBINED MONTHLY RETURN OF LIQUOR TAX AND

REPORT OF WINE GALLONS AND DOLLAR VOLUME

(REV. 2010)

OF TAXABLE SALES OR USES

LBF101



Amended Return

Change in Name or Address

Name

Month Ending

__ __ / __ __

(MM/YY)

DBA or C/O

Permit No.

Address (Number and Street)

Hawaii Tax I.D. No.

___ ___ ___ ___ ___ ___ ___ ___ - ___ ___

City or town, State, and Postal/ZIP Code

Federal Employer I.D. No./Social Security No.

CATEGORIES OF LIQUORS AND SALES (a)

DOLLAR VOLUME (b) WINE GALLONS (c) TAX RATE (d)

TAX (c x d)

1. Distilled Spirits:

Military ............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$5.98 per

wine gallon

Net Taxable Sales .....................................

2. Sparkling Wine:

Military .............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$2.12 per

wine gallon

Net Taxable Sales .....................................

3. Still Wine:

Military .............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$1.38 per

Net Taxable Sales .....................................

wine gallon

4. Cooler Beverages:

Military .............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$ .85 per

Net Taxable Sales .....................................

wine gallon

5. Beer (Other Than Draft):

Military .............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$ .93 per

Net Taxable Sales .....................................

wine gallon

6. Beer (Draft):

Military .............................................................

All Others .........................................................

Less: Nontaxable and Exempt Sales* ......

$ .54 per

Net Taxable Sales .....................................

wine gallon

7

7. Total Tax Due ........................................................................................................................... (Add Lines 1 thru 6)



8. Penalty ...........................................................................................................................................................................

9. Interest ..........................................................................................................................................................................

10. Sub-Total ................................................................................................................................. (Add Lines 7 thru 9)



11. Other Adjustments (Attach Schedule) ........................................................................................................................... 11



12. Total Amount Due (Attach check or money order payable to the “Hawaii State Tax Collector.”)............. (Line 10 minus line 11)

12

*Attach Schedule

Mailing address: Hawaii Department of Taxation, P.O. Box 259, Honolulu, HI 96809-0259

DECLARATION:

I declare, under the penalties set forth in section 231-36, HRS, that this is a true and correct return, prepared in accordance with the provisions of the

Liquor Tax Law.

Signature ___________________________________________________________

Title _____________________________

Date _______________________

FORM M-18