Form Alc 36 - Ohio Wine And Mixed Beverage Tax Return
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1
2ALC 36
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Rev. 11/07
P.O. Box 530
Columbus, OH 43216-0530
Ohio Wine and Mixed Beverage Tax Return
Reporting period for the month of
20
Return is due on or before the 18th day of
the month following the reporting period.
Account number
For Department of Taxation Use Only
Name
Address
City
State
ZIP
Report in Gallons and Fractions Thereof
A
B
C
D
E
F
14% or Less
>14-21%
Vermouth
Mixed Bev.
Sparkling
Cider
21%–Less
6% or Less
1. Bottled beverage received tax not paid
(Schedule A)
2. Bottled beverage removed from U.S. Customs
bonded warehouse
3. Beverage removed from bonded wine cellar
4. Mixed beverage bottled and sold in Ohio
(A-4 permit holders only)
5. Total of Lines 1, 2, 3 and 4.
6. Sales for sacramental purposes by B-3 liquor
permit holders only (Schedule B)
7. Sales in interstate commerce (Schedule C)
8. Sales to authorized agencies of the U.S.
government (Schedule B)
9. Total exempt sales (total of lines 6, 7 and 8)
10. Taxable gallons (line 5 minus line 9)
.24
Tax Rate
.30
.98
1.08
1.20
1.48
11. Multiply totals on line 10 by tax rate
$
12. Tax liability (total amounts shown on line 11, columns A, B, C, D, E and F)
$
Gallons
13. Additional tax
(2¢
per gallon reported on line 10, columns A, B, C and E – do not
$
X .02
include columns D or F) – boxes used for additional tax are highlighted
Gallons
X .02
14. Ohio wine exempt sales
$
15. Subtotal (line 12 plus line 13 minus line 14)
$
16. Discount, if applicable (3% of amount shown on line 15)
$
17. Total tax to be paid with this return (line 15 minus line 16)
$
Make check or money order payable to the Treasurer of State
I declare under penalties of perjury that this return, including any accompanying
of Ohio and mail to Ohio Department of Taxation, P.O. Box 530,
schedules and statements, has been examined by me and, to the best of my
Columbus, OH 43216-0530. This return and payment must be
knowledge and belief, is a true, correct and complete return and report.
received on or before the 18th day of the month following this
reporting period.
Date
Authorized signature
If you have any questions regarding the Ohio Wine and Mixed
Beverage Tax Return, please contact the Excise Tax Section at
Telephone
(855) 466-3921.
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