Form Dr 0442 - Monthly Report Of Excise Tax For Alcoholic Beverages
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1DR 0442 (7/90)
COLO DEPT OF REVENUE
EXCISE TAX SECTION
Monthly Report of Excise Tax
1375 SHERMAN ST
DENVER CO 80261
for Alcoholic Beverages
303-534-1805
800-332-2088 (COLO. ONLY)
DO NOT WRITE IN THIS SPACE
INDICATE CHANGE OF OWNERSHIP,
RETURN THIS COPY
NAME AND/OR ADDRESS:
DUE DATE
USE ACCOUNT NUMBER
LIABILITY INFORMATION
PERIOD COVERED
Make checks or money
mo.
day
yr.
for all reference
county
city
indust.
type
liability date
mo.
mo.
yr.
orders payable to:
COLO. DEPARTMENT
OF REVENUE
(70-1)
(69-1)
(56-1)
(42-1)
VINOUS LIQUOR
SPIRITUOUS LIQUOR
MALT LIQUOR
3.2% BEER
(LITERS)
(LITERS)
(GALLONS)
(GALLONS)
1. Beginning inventory ...............................................................
2. Manufactured in Colorado .....................................................
3. Purchased tax not included, attach form DR 0445 ................
4. Purchased tax included, attach form DR 0445 ......................
5. Total Lines 1, 2, 3, and 4 .......................................................
6. Ending inventory ....................................................................
7. Line 5 minus Line 6 ...............................................................
8. Tax exempt dispositions:
(a) Export sales, attach form DR 0443 ..................................
(b) Sales exempt by federal law ............................................
(c) Destruction .......................................................................
(d) Total tax exempt. Add lines 8(a), 8(b) and 8(c) ................
9. Taxable sales, Line 7 minus Line 8(d) ...................................
10. To the extent included in Line 9, sales previously taxed .......
11. Tax due sales, Line 9 minus Line 10 .....................................
$
.0733
$
.6026
$
.08
$
.08
12. Tax rate .................................................................................
13. Tax:
$
$
$
$
(a) Line 11 multiplied by Line 12 ..................................... (07)
$
(b) Vinous surcharge, 1¢ per liter ............................ 33-1(07)
$
(c) Colorado winery surcharge, 3¢ per liter ............. 60-1(07)
$
(d) Colorado winery grape tax @ $5.00 per ton ...... 63-1(07)
$
$
$
$
(e) Total tax, add Lines 13(a) through 13(d) ..........................
14. Tax previously paid on liters or gallons included
on Line 8(d) .................................................................... (02)
$
$
$
$
15. Net tax due, Line 13(e) minus Line 14 ...................................
16. Penalty @ 10% ............................................................... (01)
17. Interest @1% per month ................................................. (11)
$
$
$
$
18. Total due. Add Lines 15, 16, and 17 ......................................
$
19. TOTAL REMITTANCE, ALL COLUMNS ...................................................................... (08)
I hereby certify under penalty of perjury that the statements made herein, and on supporting documents, are true and correct to the best of my
knowledge.
Signature of Agent or Officer
Title
Date
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