Form Bt-6 - Schedule B - Alcoholic Beverages Tax Receipt Of Tax Paid Purchases And Tax Paid Returns

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Form BT-6
STATE OF CONNECTICUT
Schedule B
DEPARTMENT OF REVENUE SERVICES
PO Box 5034
Alcoholic Beverages Tax
Hartford CT 06102-5034
Receipt of Tax Paid Purchases and Tax Paid Returns
Rev. 04/01
For the month of ________________________ , _____
Name of Distributor: ____________________________________________
Address: ________________________________________
1. Use this schedule when completing Form O-255, Wholesale Alcoholic Beverages Tax Return .
2. Use this schedule to report all alcoholic beverages received during the month listed above on which alcoholic beverages tax was paid
before coming into your possession. Mark all such items with an asterisk ( * ).
3. Use this schedule to report all alcoholic beverages that were returned to you for credit and on which alcoholic beverages tax was paid.
STILL WINES
FORTIFIED
ALCOHOL AND
LIQUOR COOLER
BEER
DISTILLED
Not Over 21% Alcohol
NAME AND ADDRESS
WINES
COMPONENTS
Not Over
LIQUOR
Wine Gallons
of person, firm, or corporation from
DATE
INVOICE
Over 21%
Wine Gallons
for Manufacturing
7% Alcohol
Produced by
Produced by
Convert Draft
All Other
Alcohol
whom alcoholic beverages were
RECEIVED
NUMBER
Wineries That
Small Wineries
Proof Gallons
Wine Gallons
Size to bbls.
Containers
and SPARKLING
Are Not Small
(Producing
received or returned
WINES
Wineries
Barrels
Wine Gallons
55,000 Wine Gal.
or less per year)
Wine Gallons

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