Form Alc 50010 - Oklahoma Winemakers Monthly Return Of Wine And Sparkling Wine
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2ALC 50010
Revised 10-2011
Oklahoma Winemakers Monthly Return
Check Here if
of Wine and Sparkling Wine
Amended Return:
Oklahoma Tax Commission
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Taxpayer FEIN/SSN
OTC Distributor Permit Number
ABLE License Number
________________________________________________________
_______________________________________________
Oklahoma Winemaker Licensee Name
Contact Person
________________________________________________________
_______________________________________________
Address
(Area Code) Phone Number
________________________________________________________
City
State
Zip
This return and payment of excise tax must be submitted no later than the tenth (10th) of the month covering all transac-
tions in detail for the previous month. Attach invoices, credit memos, and credit documentation for all transactions, including
non-taxable. For more details, please see instructions.
Return for the Month of __________________________________ Year ________________________
Dollars - Cents
Dollars - Cents
1. Excise Tax Sales
a. On Premises Winery Sales .................................. __________________. _____
b. Samples Consumed or Distributed ...................... __________________. _____
c. Sales to Oklahoma Wholesalers .......................... __________________. _____
d. Sales to Oklahoma Retailers ............................... __________________. _____
e. Sales to Mixed Beverage Permittees ................... __________________. _____
f. Sales for Export Out-of-State ............................... __________________. _____
g. Total Excise Tax Sales (add lines 1a, 1b, 1c, 1d, 1e and 1f) ............................ __________________ . _____
2. Destroyed at Oklahoma Wholesalers ......................................................................... __________________ . _____
(Attach Form ALC 50014 and/or Wholesaler Debit)
3. Credit for Returns and Short Shipments
(Attach credit memo, original invoice, return authorization or bill of lading)
a. Credits to Oklahoma Wholesalers ....................... __________________. _____
b. Credits to Retailers .............................................. __________________. _____
c. Credits to Mixed Beverage Permittees ................ __________________. _____
d. Credits for Out-of-State ........................................ __________________. _____
e. Total Credits (add lines 3a, 3b, 3c, and 3d) ....................................................... __________________ . _____
4. Total Oklahoma Excise Tax Due (subtract lines 2 and 3e from 1g) ............................ __________________ . _____
I, the undersigned winemaker or duly authorized agent, state under penalties of perjury that this return with accompanying schedules
which are made a part hereof, is to the best of my knowledge and belief true and accurate.
________________________________________________________________
_______________________________________
Signature
Date
________________________________________________________________
Official Title
The Oklahoma Tax Commission is not required to give actual notice of changes in any state tax law.
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