Form Ab-154 - Common Carrier Alcohol Beverage Tax Return

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COMMON CARRIER ALCOHOL BEVERAGE TAX RETURN
Make check payable and mail to:
Wisconsin Department of Revenue
Excise Tax Section 6-107
Use this form to report the consumption of liquor, wine, apple cider, and fermented malt
PO Box 8900
beverages on dining cars and airlines while in transit through or over Wisconsin.
Madison, WI 53708-8900
Phone: (608) 266-3223
Due Date: 15 days after the end of the quarter covered by this return.
è
Indicate quarter covered by this return
July - Sept
Year
Jan - Mar
(check box and fill in the year)
Apr - June
Oct - Dec
Legal Name
Federal Employer ID No. (FEIN)
Mailing Address - Street or P. O. Box Number
City
State
Zip Code
COMPLETE WORKSHEET ON REVERSE SIDE BEFORE COMPUTING THE TAX DUE BELOW
RECORD OF CONSUMPTION AND TAX COMPUTATION
Container
Taxable Sales
Tax Type
Tax Rate
Tax Due
Amount Due
Line
Type and Size
From Worksheet
Liquor
Number Sold
1
X $.044383
Miniatures
Liters Sold
Liquor
LIQUOR
2
X $.88766
(distilled spirits)
(all other sizes)
è
3
Add lines 1 and 2
LIQUOR TAX
Liters Sold
Wine
4
X $.06605
14% or less
Liters Sold
Wine - Over 14% but
WINE
5
X $.1189
less then 21%
è
6
Add lines 4 and 5
WINE TAX
Liters Sold
Apple Cider
APPLE
APPLE
è
X $.0171
7
7% or less
CIDER TAX
CIDER
Number Sold
è
12 oz. Bottles or Cans
X $.006048
BEER
BEER TAX
8
è
9
TAX DUE (attach check with your return or pay by EFT)
Check this box if you are paying the tax due on line 9 by electronic funds transfer (EFT)
*Call (608) 264-9918 for information about paying taxes by EFT.
Go to
Under penalty of law, I declare the above information to be true, correct, and complete to the best of my knowledge and belief.
Business Telephone Number
Signature
Title
Date
(
)
INSTRUCTIONS:
1. Your return is due 15 days after the end of the quarter covered by the return (for example: a return covering the quarter January
through March is due April 15). Please retain a copy of this return in your records.
2. To be timely filed, a return must be postmarked by its due date and received by the department within five days of the due date. Late-
filed returns are subject to a statutory $10 late-filing fee plus interest at the rate of 1.5% per month calculated from the due date until
the date the tax is paid.
AB-154 (R. 11-11)

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