Dbpr Form Ab&t - Alcoholic Beverage Distributor'S Monthly Report Page 4
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6MONTHLY REPORT SUMMARY - BEVERAGE EXCISE TAX
License Name
of
, Florida.
For the month of
, Yr.
Reporting Period
/
/
through
/
/
A SEPARATE PAGE MUST BE COMPLETED FOR EACH TYPE OF REPORT
REPORT TYPE
BEER
IMPORTED
DOMESTIC
LIQUOR
(Check one.)
WINE
WINE
PINTS OR LESS
B
QUARTS
BULK GALLONS
UNDER 17.259%
W
CIDER
17.259% OR MORE
NATURAL SPARKLING
UNDER 17.259%
L
17.259% - 55.78%
OVER 55.78%
SUMMARY OF PURCHASES
1.
PURCHASES IN STATE
2.
PURCHASES OUT OF STATE
3.
TOTAL PURCHASES
(Transfer to line 13.)
SUMMARY OF DEDUCTIONS
4.
BREAKAGE/SPOILAGE
5.
SALES TO OTHER DISTRIBUTORS
6.
RETURNS TO STOCK - TAX PAID
7.
OUT-OF-STATE SALES
8.
SACRAMENTAL SALES *
9.
SALES TO GOVERNMENT STORES *
10.
SALES TO PASSENGER CARRIERS *
11.
TOTAL DEDUCTIONS
(Transfer to line 16.)
*Line 8
Attach copy of SACRAMENTAL WINE PERMIT with signed copy of invoice.
*Line 9
Attach invoice with AUTHORIZED SIGNATURE.
*Line 10
Attach proper supporting documents.
SUMMARY OF TRANSACTIONS
12.
BEGINNING INVENTORY
13.
PURCHASES
14.
RETURNS TO STOCK
(Tax paid only.)
15.
TOTAL TO ACCOUNT FOR
16.
DEDUCTIONS
17.
TAXABLE SALES
18.
TOTAL ACCOUNTED FOR
19.
ENDING INVENTORY
DBPR Form AB&T
DEPARTMENT OF BUSINESS & PROFESSIONAL REGULATION
4000A-100-2
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
Revised 11/98
1940 NORTH MONROE STREET, TALLAHASSEE, FL 32399-1022
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