Form 73a575 - Wholesaler'S Monthly Wine Tax Report
Download a blank fillable Form 73a575 - Wholesaler'S Monthly Wine Tax Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form 73a575 - Wholesaler'S Monthly Wine Tax Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
273A575 (1-07)
FOR DEPARTMENT USE ONLY
WHOLESALER’S MONTHLY
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
WINE TAX REPORT
*
*
___ ___ / ___ ___ / ___ ___
Tax
Mo.
Yr.
File with the Department of Revenue on or before the
20th of the month following the month for which the report it made.
Name and Address of Wholesaler
Revenue Account Number ____________________
Wholesaler’s Identification Number
Report for the month of
_______________________________ , 20 _____
Other Sizes
Number of Cases
Part I—Wine Excise Tax Report
187
16 Liters
12 Liters
9 Liters
8.52 Liters
Cases
Total Liters
Total Gallons
Milliliters
1.
Wine received from all sources
2.
Inventory at beginning of month
3.
Total wine available (total of lines 1 and 2)
4.
a. Exports*
b. Wine returned to vendors*
c. Wine delivered to other KY wholesalers*
d. Tax paid wine returned by KY retailers
e. Inventory at end of month
f. Sales to federal government*
g.
h. Total of lines a through g
5.
Balance subject to tax (line 3 minus line 4h)
6.
Excise tax rate
$
2.12
$
1.59
$
1.19
$
1.13
$
1.19
$
.1321
$
.50
7.
Tax applicable (line 5 times line 6)
8.
Total of all items on line 7 ...................................................................................................................................................... $ ________________________
9.
Miscellaneous credits and charges ......................................................................................................................................... $ ________________________
IMPORTANT NOTICE
10.
Total excise tax due (line 8 plus or minus line 9) ......................................................................................................
$ ________________________
21
*Attach report of each shipment.
Make check(s) payable to:
Part II—Wine Wholesale Sales Tax Report
Kentucky State Treasurer
11.
Gross receipts from sales of wine reported on line 5 of Part I above (tax included) ..........................................................
$ ________________________
Mail report and check(s) to:
12.
Receipts of wine reported from small farm wineries ............................................................................................................
________________________
Kentucky Department of Revenue
13.
Net receipts (line 11 minus line 12) ......................................................................................................................................
$ ________________________
Frankfort, Kentucky 40619
14.
Taxable receipts (line 13 divided by 1.11) ............................................................................................................................
________________________
15.
Gross tax applicable (line 14 times .11) ................................................................................................................................
$ ________________________
16.
Collection and reporting fee (line 15 times .01) ...................................................................................................................
________________________
17.
Net tax due (line 15 minus line 16) .......................................................................................................................................
$ ________________________
18.
Miscellaneous credits and charges .......................................................................................................................................
________________________
24
19.
Total wholesale sales tax due (line 17 minus line 18) ...............................................................................................
$ ________________________
I, the undersigned, a principal officer of the above-named licensee, certify that I have examined this report and it is, to the best of my knowledge and belief, a true, correct and complete report.
______________________________________________________________________
___________________________________________________________________
_________________________________
Signature
Title
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial