Form B-C-775 - Spirituous Liquor Tax Return
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1B-C-775
Spirituous Liquor Tax Return
Web
North Carolina Department of Revenue
8-12
DOR Use Only
Return for Month Ended
(MM-DD-YY)
Name of County or Municipal ABC Board (First 35 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
FEIN or SSN
Street Address
NCDOR ID/Account Number
City
State
Zip Code
Name of Contact Person
State of Domicile
Fill in circle if applicable:
Phone Number
Fax Number
Amended Return
Computation of Tax on Spirituous Liquor Sales and Mixed Beverages Surcharge
,
,
.
1.
Total Retail Sales of Spirituous Liquor
1.
00
,
,
.
2.
a. 1¢ or 5¢ bottle charge
2a.
00
,
,
.
b. Additional 1¢ or 5¢ bottle charge
2b.
00
c. $20 on each four liters of spirituous liquor sold to a mixed
,
,
.
beverage permittee for resale in mixed beverages and to a
2c.
00
guest room cabinet permittee for resale
,
,
.
d. Bailment Surcharge
2d.
00
3.
Net Sales of Spirituous Liquor Including the 30% State Excise
,
,
.
Tax and the 3 1/2% add-on for Local Boards
(Line 1 minus Lines
3.
00
2a through 2d)
4.
Taxable Sales of Spirituous Liquor Excluding the 30% State
,
,
.
Excise Tax and the 3 1/2% add-on for Local Boards
4.
00
Line 3 divided by 133.5%
,
,
.
5.
State Excise Tax Due
5.
00
Multiply Line 4 by 30%
,
,
.
6.
State’s Share of Mixed Beverages Surcharge
6.
00
Multiply Line 2c by 50%
,
,
.
7.
Tax Due
7.
00
Add Lines 5 and 6
,
,
.
(10% for late payment; 5% per month, maximum 25%, for late filing)
8.
Penalty
8.
00
Multiply Line 7 by rate above if return with full payment is not filed timely.
,
,
.
9.
Interest
(See the Department’s website, , for current interest rate.)
9.
00
Multiply Line 7 by applicable rate if return with full payment is not filed timely.
,
,
.
10. Total Payment Due
$
10.
00
Add Lines 7 through 9
Signature:
Title:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
For your convenience, electronic payment methods are available through our website at .
Returns are due on or before the 15th day of the month following the month in which the tax was collected. Your check or money order
must be in the form of U.S. currency from a domestic bank.
North Carolina Department of Revenue, PO Box 25000, Raleigh, NC 27640-0110
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