ALC 50018
Revised 7-2013
Oklahoma Taxpayers Report of Alcoholic Beverages
Imported for Personal Use
Oklahoma Tax Commission
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
_______________________________________________________________________
_______________________________
Name
Social Security Number
_______________________________________________________________________
_______________________________
Address
Phone Number
OK
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__________
_______________________________
City
State
Zip
Type
Amount
Dollars - Cents
Strong Beer
_____________________
Barrells X $ 12.50 ........$ ____________________ . __________
3.2% Beer
_____________________
Barrels X $ 11.25 ........$ ____________________ . __________
Distilled Spirits
_____________________
Liters
X $ 1.47 ........$ ____________________ . __________
Wine 14% and Under
_____________________
Liters
X $ 0.19 ........$ ____________________ . __________
Wine Over 14%
_____________________
Liters
X $ 0.19 ........$ ____________________ . __________
Sparkling Wine
_____________________
Liters
X $ 0.55 ........$ ____________________ . __________
Total Spirits and Wine Excise Tax
...............................................................$ ____________________ . __________
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_______________________________
Taxpayer Signature
Date
____________________________________________________________
_______________________________
Representative of Oklahoma Tax Commission
Date
Attach a copy of Itemized Bill of Lading and/or Custody Receipt