Form Lbd 103 - Liquor-By-The-Drink Tax Return

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TENNESSEE DEPARTMENT OF REVENUE

ALCOHOLIC BEVERAGES FOR CONSUMPTION ON THE PREMISES

(LIQUOR BY THE DRINK TAX)

FEIN

Filing

Due

Period

Date

ACCOUNT NO.

This return must be filed and the proper tax

paid on or before 15 days following the end

of the reporting period. THE RETURN

MUST BE FILED TIMELY EVEN

THOUGH NO TAX IS DUE.

Make your check payable to the Tennessee

Department of Revenue for the amount

shown on Line 7 and mail to:

Tennessee Department of Revenue

Andrew Jackson State Office Bldg.

500 Deaderick Street

Nashville, TN 37242

REMINDERS

Read instructions and complete Schedule A on reverse side before preparing this worksheet.

Transfer the amounts reported in the worksheet to the corresponding item numbers in the bottom portion.

Be sure to sign and date your return in the signature box on the back of the form.

WORKSHEET FOR COMPUTING TAX

ROUND TO NEAREST DOLLAR

1. GROSS SALES (Enter total from Line f, Schedule A, reverse side) .................................................................................

________________________

2. TAXABLE BASE (Divide Line 1 by

; Sales tax rate is

) ...............................................................

________________________

3. TAX (

% of Line 2) ...............................................................................................................................................

________________________

4. ENTER CREDIT AMOUNT (If applicable) ...................................................................................................................

________________________

5. PENALTY (If filed late, see instructions on reverse side) ............................................................................................

________________________

6. INTEREST (If filed late, see instructions on reverse side; current interest rate per annum is 8.25%) ................................

________________________

7. TOTAL AMOUNT REMITTED (Add Lines 3, 5, and 6; subtract Line 4 (credit) if applicable to determine amount due ...........

________________________

ROUND TO NEAREST DOLLAR

Keep Upper Portion For Your Records

WRITE NUMBERS LIKE THIS

Return Copy Below - Detach Here

TENNESSEE DEPARTMENT OF REVENUE

LBD

LIQUOR-BY-THE-DRINK TAX RETURN