Form Rev-1052 - Pennsylvania Manufacturer & Bonded Importer Monthly Report Of Taxable Malt Beverage Sold To Distributors And/or Customers For Resale In Pennsylvania

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PENNSYLVANIA MANUFACTURER &
REV-1052 AS+ (04-11)
BONDED IMPORTER
BUREAU OF BUSINESS TRUST FUND TAXES
MONTHLY REPORT OF TAXABLE
MISCELLANEOUS TAX DIVISION
MALT BEVERAGE SOLD TO
PO BOX 280909
DISTRIBUTORS AND/OR CUSTOMERS
HARRISBURG PA 17128-0909
FOR RESALE IN PENNSYLVANIA
REPORTING MONTH/YEAR
Print or Type
BUSINESS NAME
FEDERAL EIN
ADDRESS
ACCOUNT NUMBER
STREET
LID NUMBER
CITY
STATE
ZIP
INSTRUCTIONS:
• Manufacturer’s Total Taxable Units must agree with Column 7 of the reverse side of this report and total of Schedule A.
• Importer’s Total Taxable Units must agree with Column 3 of the reverse side of this report and total of Schedule C.
• A copy of the U.S. Treasury Department report (Form 103) must be attached to this report.
• Other, Items 18 and 19 - Enter any container with sizes not defined. Divide the number of ounces in container by 16 for the Unit Tax Rate in
cents. Round fractions to the next whole cent.
• Interest rates are found on REV-1611, available online at or by calling 1-888-728-2937.
• This report and its schedules are due on or before the 15th day after the end of the month for which it is prepared.
• Make check payable to PA DEPARTMENT OF REVENUE and mail to PA DEPARTMENT OF REVENUE, P.O. BOX 280909, HARRISBURG PA 17128-0909.
STANDARD
TAX RATE
UNIT TAX
TOTAL TAXABLE
TAX DUE
ITEM
SIZE
INCLUDES:
RATE 0.000
UNITS
$
1.
1/2 Pint
7 oz - 8 oz
.0066
2.
1 Pint
8.1 oz - 16 oz
.01
3.
1 Quart
16.1 oz - 32 oz
.02
4.
Can/Bottle
32.1 oz - 48 oz
.03
5.
Can/Bottle
48.1 oz - 64 oz
.04
6.
2 Liter
64.1 oz - 80 oz
.05
7.
3 Liter
80.1 oz - 112 oz
.07
8.
Gallon
112.1 oz - 128 oz
.08
9.
5 Liter
160.1 oz - 176 oz
.11
10.
1/8 Barrel
.32
11.
1/6 Barrel
.42
12.
1/4 Barrel
.62
13.
30 Liter
.64
14.
12 Gallon
.96
15.
50 Liter
1.06
16.
1/2 Barrel
1.24
17.
1 Barrel
2.48
18.
Other
19.
Other
20.
TOTALS
$
$
21. CREDITS: Enter the claim number from the department’s approved credit memo and the amount of credit you are claiming on this
tax return.
A. Claim Number
Credit Amount $
B. Claim Number
Credit Amount $
C. Subtract Total Credits
22. NET TAX
23. PENALTIES:
1. Underpayment Penalty: There is a charge of 1 percent of the tax due per month or fraction of a month from the
due date until the full remittance of tax is paid.
2. Failure to File/Late File Penalty: There is a charge of 10 percent of the reported tax due for a return which is
received after the due date.
24. INTEREST: Interest is on late payments calculated on tax times the number of days late, times the daily rate from
the due date of the return until the date paid. The daily interest rate is established annually and is available online
at
25. TAX DUE:
I hereby affirm under penalties prescribed by law that this report, including accompanying schedules, has been examined by me and to the best of my
knowledge is true, correct and complete. I also affirm that shipments of malt beverage brought into or sold in this commonwealth during the period
covered by this report are shown herein.
SIGNATURE OF OWNER/OFFICER
PRINT NAME
TITLE
DATE

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