Fillable Form R-23 - Beverage Tax Public Warehouse Report printable pdf download

R-23

STATE OF NEW JERSEY

DO NOT WRITE IN THIS SPACE

DEPARTMENT OF THE TREASURY

9-97, Rev. 3

DIVISION OF TAXATION

CONTROL SHEET

BEVERAGE TAX

PUBLIC WAREHOUSE REPORT

Submit Control Sheet, all necessary schedules and an extra copy of Schedule “T” to the Division of

Taxation, Beverage Tax, PO Box 241, Trenton, NJ 08646-0241.

Keep one copy of this report and all schedules for your files.

Pursuant to the provision of Title 54 of the Revised Statutes, as amended and supplemented,

__________________________________________, _________________________________________

(PRINT THE LICENSEE NAME HERE)

(FEDERAL IDENTIFICATION NUMBER)

____________________________________________________________________________________

(STREET ADDRESS)

____________________________________________________________________________________

(CITY)

(STATE)

(ZIP)

(COUNTY)

____________________________________________________________________________________

Report for bimonthly period of

(PRINT MAILING ADDRESS IF DIFFERENT FROM ABOVE - SEE INSTRUCTIONS)

_______and______(year)______

the holder of ________________________________ License No.(s)_____________________________

(TYPE OF LICENSE(S) - SEE INSTRUCTIONS)

Date

under Title 33 of the Revised Statutes, as amended, reports business transacted during the bimonthly

Submitted ________ (year)_____

period of ________________ and ______________, year _______, as follows:

- REPORT CONTENTS -

Attached hereto and made a part hereof are the following schedules:

SCHEDULE “R” CONSISTING OF _____________ SHEETS,

SCHEDULE “S” CONSISTING OF ____________ SHEETS,

SCHEDULE “RR” CONSISTING OF _____________ SHEETS,

SCHEDULE “T” CONSISTING OF ____________ SHEETS,

SCHEDULE “WR-4” CONSISTING OF ____________ SHEETS

Tax Due (Total of Schedule “WR-4”) . . . . . . . . . . . . . . . . . . . . . . . . . . . $_____________________

Beverage Tax Cr. Memo Nos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_____________________

Transmitted herewith in payment of taxes due . . . . . . . . . . . . . . . . . . . $_____________________

The undersigned does hereby affirm, subject to the penalties provided in R.S. 54:48-1 et seq., that he is the named licensee or officer, or authorized

agent thereof; that he signed the foregoing report, and that the matters and things contained in the said report and in this schedules attached thereto are true.

________________________________________________________________

(LICENSEE)

____________________________________________________________________________________________________________________________

(SIGNATURE OF OFFICER OF CORPORATE LICENSEE OR AUTHORIZED AGENT)

(TITLE OF OFFICE)

PENALTIES FOR FAILURE TO FILE REPORT, OR FILING OF FALSE OR FRAUDULENT REPORT.

Any person who shall fail to file any report required to be filed pursuant to the provisions of this title, or shall file or cause to be filed, with the Director, any

false or fraudulent report or statement, or shall aid or abet another in the filing with the Director, any false or fraudulent report or statement, with the intent to

defraud the State or evade the payment of any tax, penalty or interest or any part thereof, which shall be due pursuant to the provisions of this title, shall be

punished in accordance with the State Tax Uniform Procedure Law, R.S. 54:48-1 et seq.

Title 54 of the Revised Statutes, as amended and supplemented, provides for a penalty, based on the tax, of 5% per month up to a maximum of five months

for failure to submit a complete return including schedules by the required filing date. A separate penalty of 5% may be imposed for late payments. Interest

is computed at 3% above the prime rate for every month or fraction of a month the tax is unpaid. At the end of each calendar year, any tax, penalties and

interest remaining due will become part of the balance on which interest is charged. Added to the penalties based on the tax is a penalty of $100 per month

for each month the return is late.

This report shall cover two calendar months’ business from the first to the last day of the two month period, inclusive, and shall be signed by the licensee, or

the proper officer if the licensee is a corporation, or by the duly authorized agent of the licensee. The report with schedules and check or money order (do

not send stamps) for the amount of taxes due shall be filed with the Division of Taxation - Beverage Tax, PO Box 241, Trenton, NJ 08646-0241, within

FIFTEEN DAYS after the expiration of the period reported upon. Beverage Tax Reports shall be filed covering each bimonthly period or part of a bimonthly

period that a license is in force even though during the period no business is transacted under the license.

Form R-23 - Beverage Tax Public Warehouse Report

Related Articles

Related forms

Related Categories