Form B-C-761 - Railroad Alcohol Excise Tax Return

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Railroad Alcohol Excise Tax Return
B-C-761
Web
North Carolina Department of Revenue
9-09
Return for Month Ended
(MM-DD-YY)
Legal Name
FEIN or SSN
Trade Name
Street Address
NCDOR ID/Account Number
City
State
Zip Code
Fill in circle if payment has
been made by electronic funds
Contact Person
Phone Number
transfer (EFT).
Computation of Beer, Wine, and Liquor Excise Tax
A
B
C
D
Fortified
Unfortified
Beer
Liquor
Wine
Wine
(In Gallons)
(Sales)
(In Liters)
(In Liters)
1.
Tax Base
61.71¢
29.34¢
26.34¢
30%
2.
Tax Rate
3.
Tax Due (Multiply Line 1 by tax rate on Line 2)
4.
Penalty
(Multiply Line 3 by rate below if return with full
payment is not timely filed.) (10% for late payment) (5%
per month, maximum 25%, for late filing)
5.
Interest
(Multiply Line 3 by applicable rate if return with
full payment is not timely filed.) (See the Department’s
website, , for current interest rate.)
Total Payment Due (Add Lines 3 through 5)
6.
$
7.
Total of Columns 6A through 6D. Remit with Return.
Signature:
Title:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
Returns are due by the 15th day of the month following the month in which the beverages are sold. Mail this form with your check
or money order in U.S. currency from a domestic bank to:
North Carolina Department of Revenue, Alcoholic Beverage and Amusement Tax Unit,
PO Box 25000, Raleigh, North Carolina 27640-0110

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