Form Alc 50009 - Distributors Monthly Return Of Spirits And Wines Shipped Into Oklahoma
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2ALC 50009
Revised 9-2011
Distributors Monthly Return
of Spirits and Wines Shipped Into Oklahoma
Check Here if
Amended Return:
Oklahoma Tax Commission
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Taxpayer FEIN/SSN
OTC Distributor Permit Number
ABLE License Number
________________________________________________________
_______________________________________________
Distributor Name
Contact Person
________________________________________________________
_______________________________________________
Address
(Area Code) Phone Number
________________________________________________________
City
State
Zip
This return and payment of excise tax must be submitted no later than the tenth (10th) of the month covering all transac-
tions 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.
Return for the Month of __________________________________ Year ________________________
Dollars - Cents
1. Oklahoma Excise Tax........................................................................................ ______________________ . ________
(Attach invoices for all shipments)
2. Destroyed at Oklahoma Wholesaler ................................................................ ______________________ . ________
(Attach Form ALC 50014 and/or Wholesaler Debit Memo)
3. Short Shipments and Returns ........................................................................... ______________________ . ________
(Attach credit memo, original invoice, return authorization or bill of lading)
4. Total Oklahoma Excise Tax (subtract lines 2 and 3 from line 1) ..................... ______________________ . ________
I, the undersigned distributor or duly authorized agent, state under the penalties of perjury that this return with accompa-
nying schedules which are made a part hereof, is to the best of my knowledge and belief true and accurate.
________________________________________________________________
_______________________________________
Signature
Date
________________________________________________________________
Official Title
The Oklahoma Tax Commission is not required to give actual notice of changes in any state tax law.
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