Form R-15 - Report Of Alcoholic Beverage Transportation Licensee

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R-15

STATE OF NEW JERSEY

DO NOT WRITE IN THIS SPACE

DEPARTMENT OF THE TREASURY

2-08, Rev. 3

DIVISION OF TAXATION

BEVERAGE TAX

REPORT OF ALCOHOLIC BEVERAGE TRANSPORTATION

LICENSEE

Submit Control Sheet and necessary schedules to the Division of Taxation, Revenue Processing Center,

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)

____________________________________________________________________________________

Report for bimonthly period of

(CITY)

(COUNTY)

(STATE)

(ZIP)

_______and______(year)______

the holder of Transportation License No.(s)__________________________________________________

Date

issued under Title 33 of the Revised Statutes, as amended, reports as follows:

Submitted ________ (year)_____

That said licensee, during the bimonthly period of _______________________ and _______________________, year__________,

transported the alcoholic beverages shown on the following Schedules, which Schedules are attached hereto and made a part hereof and

which set forth a record of all transactions in transporting alcoholic beverages by the above licensee during the period covered by this report.

SCHEDULE “M” CONSISTING OF ______________ SHEETS AND _______________ DELIVERY RECEIPTS

SCHEDULE “N” CONSISTING OF ______________ SHEETS AND _______________ DELIVERY RECEIPTS

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 that any licensee filing this report late shall be liable for a late

filing penalty of $100.00 for each month or fraction thereof that this report is delinquent.

This report shall cover two calendar months’ business from the first to the last 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 the schedules shall be filed with the Division of

Taxation, Revenue Processing Center, 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 period that a license is in force even though during the period

no business is transacted under the license.

Under Subtitle 8 of Title 54 of the Revised Statutes, as amended and supplemented, transportation licensees are accorded a tax exemption on alcoholic

beverages brought from a point outside the State to a point in New Jersey, only when such beverages are delivered to or for the account of a Manufacturer,

Wholesaler, State Beverage Distributor, or Plenary Retail Transit Licensee.