Form Abp1-B - Primary Source Supplier'S Monthly Report
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1
2INDIANA DEPARTMENT OF STATE REVENUE
PRIMARY SOURCE SUPPLIER’S
MONTHLY REPORT
Form ABP1-B
State Form 47028
Reporting Month
Year
(R2/3-09)
Name of Permit Holder (as indicated on permit)
Mailing Address
ABC Permit#
City or Town
State
Zip Code
Federal ID Number
GENERAL INFORMATION
fermentation of the natural sugar content of fruit, fruit juice, or other agricultural
DEFINITIONS:
products containing sugar, including necessary additions to correct defects due
I.C. 7.1-1-3-5 Alcoholic Beverage
to climatic, saccharine, and seasonal conditions, and also the alcoholic fortifi cation
The term “alcoholic beverage” means a liquid or solid that:
of the beverage. The term does not mean an alcoholic beverage that contains
(1) is, or contains, one-half percent (0.5%) or more alcohol by volume;
twenty-one percent (21%), or more, of absolute alcohol reckoned by volume.
(2) is fi t for human consumption; and
(3) is reasonable likely, or intended, to be used as a beverage.
REPORTING REQUIREMENTS
The primary source of supply shall file a monthly report with the
I.C. 7.1-1-3-6 Beer
Department of Revenue documenting all shipments of alcoholic beverages into
The term “beer” means an alcoholic beverage contained by the
Indiana during the month being reported. A return must be fi led even if there
fermentation of an infusion, or decoction of barley malt or other cereal and hops
are no shipments made into Indiana during the reporting period.
in water.
The Indiana Department of Revenue requires that all necessary
I.C. 7.1-1-3-18 Gallon
information be completed. (Printouts are acceptable if the required information
The term “gallon” means a liquid measure containing two hundred thirty-
is included.) An incomplete report may be returned for additional information.
one (231) cubic inches.
To be considered timely filed, monthly returns must be filed on or
I.C. 7.1-1-3-21 Liquor
before the tenth (10th) day of the month immediately following the last day of
The term “liquor” means an alcoholic beverage containing alcohol
the month being reported. If the tenth day of the month falls on a Saturday, a
obtained by distillation. The term also means a wine that contains twenty-one
Sunday, or a national legal holiday, or a statewide holiday, the due date is the next
percent (21%) , or more, of alcohol reckoned by volume. However, the term does
succeeding day that is not a Saturday, a Sunday, or such holiday.
not include industrial alcohol.
Penalty
I.C. 7.1-1-3-23 Malt Articles
Primary source suppliers who fail to fi le or timely fi le monthly returns
The term “malt articles” means malt, malt syrup, malt extract, liquid malt,
are subject to a penalty of ten dollars ($10) for each return not fi led or fi led
or wort, and their containers.
after the due date of the return.
I.C. 7.1-3-32.5 Primary Source of Supply
GENERAL INFORMATION
The “primary source of supply” means, in regard to alcoholic beverage
A. Indicate the month and year for which the return is being fi led in the
being sold to a wholesaler:
appropriate spaces provided.
(1) a distiller of the alcoholic beverage;
B. Indicate the primary source supplier’s name, Alcoholic Beverage
(2) a producer of the alcoholic beverage;
Commission permit number, and federal identifi cation number.
(3) a vintner of the alcoholic beverage;
C. Indicate “page
of
“ in the appropriate space provided.
(4) a rectifi er of the alcoholic beverage;
D. Itemize each sale, by invoice, separately. Group sales by
(5) an importer into the United States of the alcoholic beverage;
customers in order of date sold.
(6) an owner of the alcoholic beverage at the time it becomes a
E. When reporting gallons of beer, round gallons to the nearest
marketable product;
hundreth (0.00) decimal place.
(7) a bottler of the alcoholic beverage;
F. Additional copies of page 2 of Form ABP1-B, Primary Source
(8) a brewer of the alcoholic beverage; or
Supplier’s Monthly Report, may be submitted if needed. Each page
(9) an agent specifi cally authorized to make sales to an Indiana
should indicate a page number and total gallons.
wholesaler by a person listed in subdivisions (1) through (8).
I.C. 7.1-1-3-46 Table Wine
The term “wine” means an alcoholic beverage obtained by the
I hereby declare under penalties of perjury that the information contained in this return, including
accompanying schedules and statements, is true, correct and complete to the best of my knowledge and
belief.
INDIANA DEPARTMENT OF REVENUE
Taxpayer or Duly Authorized Agent
P.O. BOX 6114
INDIANAPOLIS, INDIANA 46206-6114
SIGN
HERE
Questions related to this form call (317) 615-2710
Print or Type Name
Title
Business Phone (Area Code and Number) Date
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