B-C-710
Beer Wholesalers Excise Tax Return
Web
North Carolina Department of Revenue
8-12
DOR Use Only
Return for
FEIN or SSN
(MM-DD-YY)
Month Ended
Legal Name (First 35 Characters) (USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS)
NCDOR ID/Account Number
Trade Name
Mailing Address
ABC Permit Number
City
State
Zip Code
Name of Contact Person
State of Domicile
Fill in circle if applicable:
Phone Number
Fax Number
Amended Return
Part 1. Computation of Beer Excise Tax
,
,
Beginning Inventory (In gallons)
1.
1.
,
,
2.
2.
Total Gallons Received (From Part 2, Total)
,
,
3.
Total Gallons Available
3.
Add Lines 1 and 2
,
,
4a.
4.
a.
Allowable Deductions (Attach Schedule)
,
,
4b.
b.
Adjustments to Taxable Transactions (From Part 3, Total)
,
,
4c.
c.
Military Sales (From Part 4, Total)
,
,
Ending Inventory (In gallons)
4d.
d.
,
,
5.
Total Taxable Gallons
5.
Line 3 minus Lines 4a - 4d
.
,
,
6.
Total Excise Tax Due
00
6.
Multiply Line 5 by 61.71¢
.
7.
Discount
,
,
Multiply Line 6 by 2% if return with full
7.
00
payment is timely filed; otherwise enter zero.
.
,
,
8.
Net Tax Due
00
8.
Line 6 minus Line 7
.
Penalty (10% for late payment; 5% per month, maximum 25%, for late filing)
,
,
9.
00
9.
Multiply Line 6 by rate above if return with full payment is not filed timely.
.
,
,
10.
Interest (See the Department’s website, , for current interest rate.)
00
10.
Multiply Line 6 by applicable rate if return with full payment is not filed timely.
.
,
,
$
11.
Total Payment Due
00
11.
Add Lines 8 through 10
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 beverage is first sold or disposed of.
Your check or money order must be in the form of U.S. currency from a domestic bank.
North Carolina Department of Revenue, Post Office Box 25000, Raleigh, North Carolina 27640-0110