Oklahoma Spirits and Wine Inventory
ALC 50013
Oklahoma Tax Commission
Revised 9-2011
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Check Here if
Taxpayer FEIN/SSN
Filing Period
OTC Permit Number
ABLE Permit Number
Amended Return:
____________________________________________________________
Name
____________________________________________________________
______________________________________________ ________ _ ________________
Address
City
State
Zip
This return must be submitted no later than the tenth (10th) of the month covering all transactions in detail for the previous month. Attach invoices, credit memos, and credit
documentation for all transactions, including non-taxable. For more details, please see instructions.
To compute liters on all schedules, multiply number of bottles X bottle size. Carry to 3 decimal places. Do not round.
To compute Tax Value, see instructions.
Report in Liters (carry to 3 decimal places)
Dollars - Cents
Spirits
Wine
Sparkling Wine
Tax Value
1.
Beginning Inventory (per previous month’s ending inventory)
2.
Receipts
3.
Short Shipments/Returns to Stock
(Attach credit memo, original invoice, return authorization or bill of lading)
4.
Available
5.
Samples Removed
6.
Shipments to Oklahoma Wholesalers
7.
Shipments Out-of-State
8.
Returns to Suppliers
9.
Unsaleables Destroyed by OTC at your warehouse
(attach Form ALC 50014)
10. Total (add lines 5, 6, 7, 8 and 9)
11. Ending Inventory per Return (subtract line 10 from line 4)
I the undersigned or duly authorized agent, state under the penalties of perjury that this return with accompanying schedules which are made part hereof, is to the best of my knowledge and belief true and correct.
Official Title: _ __________________________________________
Signature: _________________________________________________
Date: ___________________