BER
Wholesale Beer Tax Return
Schedule A
116
If more space is needed, please attach additional copies of this sheet. A reasonable, computer-generated facsimile of Schedule A will
be accepted if it matches the format of this schedule.
Refer to the situs code list ( ) to find the situs code for each county and city where beer sales
were made for Column (a).
List the situs code in Column (a) and the name of the county or city in Column (b). List the total $35.60 tax collected in that county or city
in Column (c). List the $34.51 per barrel tax paid to the county or city in Column (d), and the $0.92 per barrel compensation retained in Column
(e). Compensation can only be taken if the return is filed timely and the total tax due is paid. List the $0.17 per barrel tax due the state in Column
(f). Total the amount of tax for all counties and cities in each column on the last line of Schedule A.
Business Name
Account #
Filing Period
Situs Codes
County or City
Total $35.60 Tax Collected
$34.51
$0.92
$0.17
(a)
(b)
(c)
(d)
(e)
(f)
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Totals (Add lines 1 through 35) .................................... (c) _______________
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Enter here and on front of return on Line 1 (column c) and Line 2 (column d)
RV-R0007501
INTERNET (7-13)