Form O-255 - Wholesale Alcoholic Beverages Tax Return Page 2
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1
2
3
4Beer, Malt Beverages, or Cider
Still Wines - Not more than 21%
Fortifi ed Wines
Distilled Liquors
Alcohol and
Liquor Coolers
alcohol.
(More than 21%
(Including cider containing more
Components
(Not more than
Alcohol) and
7% alcohol)
than 7% and not more than 21% alcohol)
for Manufacturing
Sparkling Wines
All other containers
Produced by
Convert
Produced by
(Including cider
(Including cider
small wineries
draft size
wineries which are
containing
containing not more
to barrels.
(Producing 55,000
not small wineries
more than
than 7% alcohol)
wine gallons or less
21% alcohol)
per year)
Barrels
Wine Gallons
Wine Gallons
Wine Gallons
Wine Gallons
Wine Gallons
Proof Gallons
Wine Gallons
Column A
Column B
Column C
Column D
Column E
Column F
Column G
Column H
00
00
00
00
00
00
00
1. Physical inventory at start of month
00
00
00
00
00
00
00
00
2. Quantity purchased or acquired (Sch. A)
00
00
00
00
00
00
00
00
3. Tax-paid purchases and returns (Sch. B)
00
00
00
00
00
00
00
00
4. Produced by manufacturing process
00
00
00
00
00
00
00
00
5. Totals: Add Lines 1 through 4.
00
Deductions
00
00
00
00
00
00
00
6. Quantity emptied for Item 4 above
00
00
00
00
00
00
00
00
7. Physical inventory at end of month
00
00
00
00
00
00
00
00
8. Adjustments, gain, or loss: Explain.
00
9. Total deductions: Add Lines 6, 7, and 8.
00
00
00
00
00
00
00
00
10. Accountable Balance: Line 5 minus 9.
Non-Taxable Deductions
00
00
00
00
00
00
00
11. Tax-paid purchases and returns (Sch. B)
00
00
00
00
00
00
00
00
12. Shipments outside Connecticut (Sch. C)
00
00
00
00
00
00
00
00
13. Shipments within Connecticut (Sch. D)
00
14. Total non-tax deductions:
00
00
00
00
00
00
00
Add Lines 11, 12, and 13.
00
15. Taxable net quantity: Line 10 less Line 14.
00
00
00
00
00
00
00
00
@ $7.20
@ $0.24
@ $5.40
@ $0.72
@ $0.18
@ $1.80
@ $5.40
@ $2.46
16. Tax rate for each of the columns
Tax Amount for Each Alcoholic Beverage
17. Multiply Line 15 by Line 16 for each column.
00
00
00
00
00
00
00
00
Total Line 17, Columns A through H.
Transfer this amount to Line 1 on the front.
O-255 Back (Rev. 06/11)
Page 2 of 4
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