Form Com/att-018 - Non-Resident Winery Tax Return

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Comptroller of Maryland
ATT Use Only
MATT Regulatory Division
Check Number
Alcohol and Tobacco Tax
Check Amount $
Louis L. Goldstein Treasury Building
Deposit Date
P. O. Box 2999
Annapolis, Maryland 21404-2999
Non-Resident Winery Tax Return
See reverse side for complete instructions.
Prepare this return in
Non-Resident Winery Name and Address:
For Calendar Month
duplicate.
Use typewriter or print in
ink.
Retain duplicate.
Non-Resident Winery Permit Number: NW-
Wine Tax Determination
Summary of Wine Deliveries into Maryland
A
B
C
D
Total Gallons
Total Gallons
Maryland Retailer/Consignee:
Shipped
Maryland Retailer/Consignee:
Shipped
1
9
2
10
3
11
4
12
5
13
6
14
7
15
8
16
17
Total gallons (Columns B and D, lines 1 through 16)
18
Adjustments
19
Net gallons of wine subject to tax (Line 17 plus or minus line 18)
20
Wine tax per gallon $.40
X
.40
21
Net tax due (Line 19 x Line 20)
$
Affidavit
I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to the
best of my knowledge, information and belief.
Signature
Title: Owner, Partner or Officer
Date
COM/ATT-018
04/08

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