Form Tc-386x - Beer Destruction Record
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1Utah State Tax Commission
210 North 1950 West • Salt Lake City, UT 84134 • tax.utah.gov
TC-386X
Beer Destruction Record
Rev. 2/12
Keep this record in your files in case of an audit.
Name: ____ ____ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1 barrel = 31 gallons
= 3,968 oz.
Address: ___ _____ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Month: _ ____ ____ __
Account no.: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Total Equivalent Barrels
Product description
Total Cases
Conversion Factor
(round to five decimal places)
or Kegs
Beer
Heavy Beer
(cases/kegs to barrels)
12 oz. — 18 each
_ _ _ _ _ _ _ _ _
x
0.05444
=
_________
_________
12 oz. — 20 each
_ _ _ _ _ _ _ _ _
x
0.06048
=
_________
_________
12 oz. — 24 each
_ _ _ _ _ _ _ _ _
x
0.07258
=
_________
_________
12 oz. — 30 each
_ _ _ _ _ _ _ _ _
x
0.09073
=
_________
_________
12 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
16 oz. — 24 each
_ _ _ _ _ _ _ _ _
x
0.09677
=
_________
_________
16 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
22 oz. — 12 each
_ _ _ _ _ _ _ _ _
x
0.06653
=
_________
_________
22 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
24 oz. — 12 each
_ _ _ _ _ _ _ _ _
x
0.07258
=
_________
_________
24 oz. — 15 each
_ _ _ _ _ _ _ _ _
x
0.09073
=
_________
_________
24 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
32 oz. — 12 each
_ _ _ _ _ _ _ _ _
x
0.09677
=
_________
_________
32 oz. — 18 each
_ _ _ _ _ _ _ _ _
x
0.14516
=
_________
_________
32 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
40 oz. — 12 each
_ _ _ _ _ _ _ _ _
x
0.12097
=
_________
_________
40 oz. — ______ each
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
0.25 BBL
_ _ _ _ _ _ _ _ _
x
0.25000
=
__ __ __ __ _
_ __ ______
0.50 BBL
_ _ _ _ _ _ _ _ _
x
0.50000
=
__ __ __ __ _
_ __ ______
1.00 BBL
_ _ _ _ _ _ _ _ _
x
1.00000
=
__ __ __ __ _
_ __ ______
_ _ _ _ __ _ _____ _ _
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
_ _ _ _ _ __ ____ __ _
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
_ _ _ _ _ __ ____ __ _
_ _ _ _ _ _ _ _ _
x
_ _ _ _ _ _
=
_________
_________
Grand Total Barrels
__ __ __ __ _
__ __ _____
Enter these totals on TC-386, line 9.
Tax Commission Certification:
I witnessed the destruction of beer, in quantities listed on this record, at
_ _ _ ____ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ __ __ on _______________ .
_ __ ___ _____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
________________
________________
Witness signature
Title
Division
_ __ ___ _____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
________________
________________
Witness signature
Title
Division
This destruction record is not valid unless signed by a witness of the Utah State Tax Commission.
Call 801-297-4600 to schedule a Tax Commission witness.
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