Form Mt-38 - Application For Annual Filing Status For Certain Liquor, Beer, And Wine Manufacturers

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MT-38
New York State Department of Taxation and Finance
Application for Annual Filing Status for
(2/15)
Certain Liquor, Beer, and Wine Manufacturers
I elect to file my tax return
:
(mark an X in one box)
Form MT-50, Beer Tax Return
...............................................................................................
(and Similar Fermented Malt Beverages)
Form MT-40, Return of Tax on Wines, Liquors, Alcohol, and Distilled or Rectified Spirits .............................................................
on an annual basis rather than on a monthly basis.
I am eligible to do so because I meet the following requirements:
Form MT-50
Form MT-40
I am licensed with the State Liquor Authority (SLA) as a
I am licensed with the State Liquor Authority (SLA) as a
:
:
(mark an X in one box)
(mark an X in one box)
Farm winery ...................................................................
Microbrewery ..................................................................
Special farm winery .......................................................
Restaurant brewer ..........................................................
Direct shipper ................................................................
Farm brewery ..................................................................
Farm distillery ................................................................
You must submit a copy of your SLA license with your completed application.
Tax registration number
Federal employer identification number (EIN)
SLA license number
Legal name
Trade name
Address of principal place of business
City
State
ZIP code
Mailing address if different
City
State
ZIP code
County
Telephone number
(
)
Certification: I certify that this information is to the best of my knowledge and belief true, correct, and complete.
Name of applicant
Title
Signature
Date
E-mail address
Mail your completed application and a copy of your SLA license to:
NYS TAX DEPARTMENT
ABT RETURNS PROCESSING UNIT
W A HARRIMAN CAMPUS
ALBANY NY 12227-0863

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