Sd Eform 1341v2 - South Dakota Farm Winery Excise Tax Report - 2007
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1SD EForm - 1341 V2
HELP
Complete and use the button at the end to print for mailing.
South Dakota Farm Winery Excise Tax Report
Month:___________________
Total Amount Remitted:_______________________
$0.00
Name:__________________________________
License Number:____________________
Address:________________________________
Phone Number: ____________________
City & Zip Code:__________________________
Report
Part A
List Total Wine Gallons for each category
Wine 3.2% -14%
Wine 14.1% -20%
Wine 20.1%-24%
Gallons manufactured
0
0
0
or produced:
__________________________________________________
Deductions
0
0
0
Sacramental Wine
__________________________________________________
0
0
Breakage
__________________________________________________
0
0
0
0
Other (specify)
__________________________________________________
0
0
0
Taxable Gallons
__________________________________________________
Part B
Tax Computation
0
0.00
Wine 3.2% -14% . . . taxable gallons _______________ x $ .93 =
$_____________
0
0.00
Wine 14.1% -20% . . . taxable gallons _______________ x $1.45 =
$_____________
0
0.00
Wine 20.1% -24% . . . taxable gallons _______________ x $2.07 =
$_____________
0.00
Total Tax Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_____________
Signature of Licensee or Preparer ___________________________________________
Send report and payment to: South Dakota Department of Revenue & Regulation, Remit Center,
Box 5055, Sioux Falls, SD 57117-5055
th
Report due on or before the 15
of every month reflecting the previous months production. If no
wine is made then a zero report is due.
PRINT FOR MAILING
CLEAR FORM
Revised 02-2007
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