Form 73a526 - Wholesaler'S Monthly Distilled Spirits Tax Report

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73A526 (1-07)
FOR DEPARTMENT USE ONLY
Commonwealth of Kentucky
WHOLESALER’S MONTHLY
DEPARTMENT OF REVENUE
*
*
___ ___ / ___ ___ / ___ ___
DISTILLED SPIRITS TAX REPORT
Tax
Mo.
Yr.
Name and Address of Wholesaler
Revenue Account Number ___________________
State License Number ______________________
Report for the month of
_______________________________ , 20 _____
Part I—Distilled Spirits Excise Tax Report
Cases Over 6% Alcohol
Other Sizes Over 6%
Distilled Spirits 6% and Under**
12 Liters
10.5 Liters
9.6 Liters
9 Liters
Cases
Total Liters
Total Gallons
Cases
Total Liters
Total Gallons
1.
Spirits received from all sources
2.
Inventory at beginning of month
3.
Total spirits available (total of lines 1 and 2)
4.
a. Exports*
b. Spirits returned to vendors*
c. Spirits delivered to other KY wholesalers*
d. Tax paid spirits 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
$
6.09
$
5.33
$
4.87
$
4.57
$
.5072
$
1.92
$
.0661
$
.25
7.
Tax applicable (line 5 times line 6)
8.
Total of all items on line 7 ...................................................................................................................................................... $ ________________________
IMPORTANT NOTICE
9.
Miscellaneous credits and charges ......................................................................................................................................... $ ________________________
20
10.
Total excise tax due (line 8 plus or minus line 9) ......................................................................................................
$ ________________________
Make check(s) payable to:
Kentucky State Treasurer
Part II—Distilled Spirits Wholesale Sales Tax Report
11.
Gross receipts from sales of spirits reported on line 5 of Part I above (tax included) ........................................................
$ ________________________
Mail report and check(s) to:
12.
Taxable receipts (line 11 divided by 1.11) ..........................................................................................................................
________________________
Kentucky Department of Revenue
13.
Gross tax applicable (line 12 times .11) ................................................................................................................................
$ ________________________
Frankfort, Kentucky 40619
14.
Collection and reporting fee (line 13 times .01) ...................................................................................................................
________________________
15.
Net tax due (line 13 minus line 14) .......................................................................................................................................
$ ________________________
File with the Department of Revenue on or before
16.
Miscellaneous credits and charges .........................................................................................................................................
_______________________
the 20th of the month following the month for which
22
the report is made.
17.
Total wholesale sales tax due (line 15 plus or minus line 16) ..................................................................................
$ ________________________
*Attach report of each shipment.
Part II—Distilled Spirits Case Sales Tax Report
**Distilled spirits represent 6 percent or less of the
18.
Cases subject to tax (total of all items on line 5 of Part I above) .........................................................................................
________________________
total volume of the content of these containers.
19
19.
Total case sales tax due (line 18 times .05) ................................................................................................................
$ ________________________
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

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