ALC 50008
Revised 9-2011
Oklahoma Retail Manufacturer of Low Point Beer
Check Here if
Excise Tax Return
Amended Return:
Oklahoma Tax Commission
-Office Use Only-
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Taxpayer FEIN/SSN
Return Period
Due Date
OTC Brew Pub License Number
________________________________________________________
_______________________________________________
Name
Contact Person
________________________________________________________
_______________________________________________
Address
Contact Telephone Number
________________________________________________________
City
State
Zip
General Instructions
This is the tax return for reporting beer production and for remitting the tax. The return is due to the Oklahoma Tax
Commission on or before the 10th day of the month following the close of the month for which production is reported.
Barrels
(carry to 2 decimals)
1. Stock on hand beginning of month .............................................................. _____________________________
2. Stock on hand ending of month ................................................................... _____________________________
3. Tax determined production (same as Federal return) .................................. _____________________________
Dollars - Cents
4. Oklahoma Excise Tax (multiply line 3 by $11.25) . ......................................X _____________________ . _ _____
5. Discount (multiply line 4 by 1%) . ..................................................................– _____________________ . _ _____
6. Interest (for interest, add 0.04% of line 4 for each day of late filing) . ...........+ _____________________ . _ _____
7. Penalty (for penalty, add 10% of line 4 for filing 30 days late) .....................+ _____________________ . _ _____
8. Total Due (add lines 4, 6, 7, and subtract line 5) . ........................................= _____________________ . _ _____
I declare under penalty of perjury, that the information provided here and on any attachments is true and correct to the best of my knowledge.
Official Title
Signature
Date