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

ADVERTISEMENT

Departmental Use Only
DR 0442 (03/10/05)
COLORADO DEPARTMENT OF REVENUE
1375 SHERMAN STREET Rm 208
MONTHLY REPORT OF EXCISE TAX
DENVER CO 80261
(303) 205-8211 x6848
FOR ALCOHOL BEVERAGES
ARE YOU PAYING YOUR TAXES BY EFT?
YES
NO
RETURN THIS COPY
Show change of
PHOTOCOPY AND KEEP
ownership, name
COPY FOR YOUR RECORDS
and/or address here
MAKE REMITTANCE
LIABILITY INFORMATION
USE ACCOUNT NUMBER
PERIOD COVERED
DUE DATE
PAYABLE TO:
FOR ALL REFERENCE
cnty
city
industry type
liability date
COLORADO
DEPARTMENT OF
REVENUE
(1800-100)
(1820-100)
(1810-100)
(1860-100)
(1840-100)
VINOUS LIQUOR
SPIRITUOUS LIQUOR
HARD CIDER
MALT LIQUOR
3.2% BEER
(LITERS)
(LITERS)
(GALLONS)
(GALLONS)
(GALLONS)
1. Beginning inventory
(Manufacturers Only)
2. Manufactured in Colorado
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 sales, Line 7 minus Line 8(d)
10. Sales previously taxed, included in Line 9
11. Tax due sales, Line 9 minus Line 10
$
$
$
$
.6026
$
.08
.08
.08
.0733
12. Tax rate
13. Tax:
$
$
$
$
$
(100)
(a) Line 11 multiplied by Line 12
$
1865-100 (100)
(b) Vinous surcharge 1‘/liter
$
1866-100 (100)
(c) CO winery surcharge (see inst.)
$
$
1867-100 (100)
(d) CO grape/produce $10.00/ton
$
$
$
$
$
(e) Total tax, add Lines 13(a) through 13(d)
14. Tax previously paid on liters or gallons
(105)
included on Line 8(d)
$
$
$
$
$
15. Net tax due, Line 13(e) minus Line 14
(200)
16. Penalty @ 10%
(300)
17. Interest @ 1% per month
$
$
$
$
$
18. Total due, Add Lines 15, 16, and 17
If your check is rejected due to insufficient or uncollected funds, the Department of Revenue
may collect the payment amount directly from your banking account electronically.
$
(355)
19. 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

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2