Form Alc 102 - Wholesale Alcoholic Beverage Return
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1
2TENNESSEE DEPARTMENT OF REVENUE
WHOLESALE ALCOHOLIC BEVERAGE RETURN
Filing Period
Account No.
SSN OR FEIN
ALC
Beginning:
Due Date
102
Ending:
Returns must be postmarked by the
due date to avoid the assessment of
penalty and interest. Returns must be
filed even if no sales were made or any
tax is due.
Make your check payable to the
Tennessee Department of Revenue
for the amount shown on Line 10 and
mail to:
Tennessee Department of Revenue
Andrew Jackson State Office Bldg.
500 Deaderick Street
Nashville, TN 37242
REMINDERS
1.
Please read instructions on reverse side before preparing this return.
IF AN AMENDED
2.
Transfer the amounts reported in Schedules A and B to the appropriate lines in Columns 1 -3 on front
RETURN
of return.
CHECK HERE
3.
Attach any printout and/or documentation as required by instructions on reverse side.
4.
Sign and date return in the signature box below.
CARRY LITERS TO FOUR DECIMAL PLACES
COLUMN THREE
COLUMN ONE
COLUMN TWO
DISTILLED SPIRITS
ALCOHOLIC BEVERAGES
WINE & HIGH ALCOHOL
(Alcohol content > 7%)
(Alcohol content >5% - 7%)
CONTENT BEER > 7%
1. Total liter disposition
(From Sch. A,Line 5).............
2. Exemptions in liters
(From Sch. B, Line 8).............
3. Adjusted gross sales
(Subtract Line 2 from
Line 1)..................................................................
4. Tax rate...............................................................
5. Tax liability
(Multiply Line 3 by Line 4)....................
6.
Total tax due
(Add all columns in Line 5).......................................................................................................
7. Credit
(Enter outstanding credit amount from Department of Revenue notice(s))................................................
8. Penalty
(See instructions on back)................................................................................................................
9. Interest
(See instructions on back)................................................................................................................
00
10. Total amount due
(Add Line 6, 8, and 9; subtract Line 7 if applicable)..............................................................
I declare this is a true, complete, and accurate return to the best of my knowledge.
FOR OFFICE
SIGN
USE ONLY
HERE
Date
Signature of taxpayer
SIGN
HERE
If preparer other than taxpayer
Date
RV-R0005901
INTERNET (06-11)
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