Form Lbd 103 - Liquor-By-The-Drink Tax Return Page 2
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1
2INSTRUCTIONS
GENERAL:
Since you have been licensed to sell alcoholic beverages for consumption on the premises, you are required to file monthly returns and pay the
applicable 15% tax. You are to report gross sales of alcoholic beverages, including all taxes in Schedule A. Sales of beer, food, and other items
are NOT to be included in this report.
DUE DATE: The return along with the appropriate tax payment are due to be filed on or before the 15th day following the end of your accounting period. In addition
to penalty and interest being assessed, the late filing of a return or the underpayment of the tax must be reported to the Alcoholic Beverage
Commission by the Department of Revenue. Returns delinquent or underpaid three (3) times during one license period may subject your license
to suspension or revocation.
TAXPAYER/TAX PREPARER'S SIGNATURE: You must sign and date your return. Paid preparers (accountants, attorneys, etc.) must also sign the return.
FILING:
Make your check payable to the Tennessee Department of Revenue for the amount shown on Line 7 of the return and mail with the return to:
Tennessee Department of Revenue, Andrew Jackson State Office Building, 500 Deaderick Street, Nashville, TN 37242. NOTE: The payment of
the tax by Electronic Funds Transfer (EFT) does not relieve you of filing a timely tax return.
AMENDED RETURNS: If this return is an "Amended Return," please indicate "Period Ending" on the front and check the appropriate box on the back of the form.
COMPUTATION OF TAX:
Line 1:
Compute GROSS SALES including all taxes in Schedule A (back of return) and transfer total from Line f to Line 1 (front of return).
Line 2:
The tax base factor is 1.15 plus your state and local sales tax rate. Divide Line 1 by this factor to determine TAXABLE BASE.
Line 3:
Multiply Line 2 by 15% to determine GROSS RECEIPTS TAX.
Line 4:
Enter the amount of any outstanding CREDIT AMOUNT of gross receipts tax previously notified by the department.
Line 5:
If filed late, PENALTY is computed at 5% of the tax (Line 3 minus the credit on Line 4) for each 30-day period or any fractional part of a 30-day period
that the return is delinquent. Total penalty is not to exceed 25% of the tax due; the minimum penalty is $15.00 regardless of the amount of tax
due or whether there is any tax due.
Line 6:
If filed late, INTEREST is computed at the current rate on the tax (Line 3 minus the credit on Line 4) from the due date to the date paid.
(Formula: Tax multiplied by current interest rate multiplied by the number of days late divided by 365.)
Line 7:
Add Lines 3, 5, and 6; if credit balance entered on Line 4, subtract from total of Lines 3, 5, and 6 to determine net amount due.
SCHEDULE A - WORKSHEET
For additional information, contact the Taxpayer Services Division in one
of our Department of Revenue Offices:
GROSS SALES INCLUDING ALL TAXES:
Compute gross sales of distilled spirits and wine including alcoholic bever-
Chattanooga
Knoxville
ages tax (15%) and applicable sales tax.
(423) 634-6266
(865) 594-6100
(Transfer amounts to Schedule A below)
Suite 350
Suite 300
State Office Building
7175 Strawberry Plains Pike
540 McCallie Avenue
$
a) TOTAL SALES - Regular Prices
Jackson
Johnson City
(731) 423-5747
(423) 854-5321
$
Room 405 B
204 High Point Drive
b) TOTAL SALES - Happy Hour Sales
Lowell Thomas Building
225 Martin Luther King Blvd.
Nashville
$
c) TOTAL SALES - Other Special Prices
Memphis
(615) 253-0600
(901) 213-1400
Andrew Jackson Building
3150 Appling Road
500 Deaderick Street
$
d) TOTAL SALES - Other Special Prices
Tennessee residents can also call our statewide toll free number
$
e) TOTAL SALES - Other Special Prices
at 1-800-342-1003. Out-of-state callers must dial (615) 253-0600.
If your account number is not preprinted on the front of the return,
$
enter your social security number (SSN) and/or federal employer
f) GROSS SALES - (total of lines a through e)
identification number (FEIN) in the spaces below:
Check appropriate box
SCHEDULE A
and fill in number below:
FEIN or SSN
$
a) TOTAL SALES - Regular Prices
$
b) TOTAL SALES - Happy Hour Sales
$
c) TOTAL SALES - Other Special Prices
Under penalties of perjury, I declare that I have examined this report, and to the best of my knowledge and
belief, it is true, correct, and complete.
$
d) TOTAL SALES - Other Special Prices
Taxpayer's Signature
Date
$
e) TOTAL SALES - Other Special Prices
Signature of Preparer other than Taxpayer
Date
$
f) GROSS SALES -
(total of lines a through e;
Tax Preparer's Address
Phone Number
enter on Line 1 on front of return)
INTERNET (03-01)
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