Form Abc 273 - Kansas Alcohol And Spirits Manufacturers' Monthly Gallonage Tax Return And Report Page 2

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Kansas Department of Revenue
Alcoholic Beverage Control Division
915 S.W. Harrison Street, Room 214
Topeka, KS 66625-3512
Phone: 785-296-7015 Fax: 785-296-7185
KANSAS ALCOHOL & SPIRITS MANUFACTURERS’
MONTHLY GALLONAGE TAX RETURN AND REPORT
MONTH:_______________ YEAR: __________ FEIN: ___ ___ - ___ ___ ___ ___ ___ ___ ___
MANUFACTURER NAME:____________________________________________________________
ADDRESS: _______________________________________________________________________
CITY/STATE: ________________________________________________ ZIP CODE: ____________
CONTACT PERSON: ______________________________E-MAIL ADDRESS:_________________
MANUFACTURER’S SUMMARY
TOTAL GALLONS
Total Gallons Manufactured for Beverage Purposes
Total Gallons Purchased - from Kansas Manufacturer
(Schedule A)
Total Gallons Purchased - from Out-of-State Manufacturer
(Schedule B)
Total Gallons Sold - to Kansas Manufacturer
(Schedule C)
Total Gallons Sold - to Kansas Distributor
(Schedule D)
Total Gallons Sold - Non-Beverage User Licensee
(Schedule E)
Total Gallons Exported for Beverage Purposes
TOTAL GALLONAGE TAX DUE – PURCHASE AND MANUFACTURE:
PRODUCT TYPE:
CODE:
GALLONS:
TAX RATE:
TAX AMOUNT:
TAX DUE:
01
X
+
$
Alcohol and Spirits
$2.50 / Gallon
= $
02
X
-
$
(GLAS)
03
X
-
$
TOTAL GALLONAGE TAX DUE – MANUFACTURE WITHOUT PURCHASES:
PRODUCT TYPE:
CODE:
GALLONS:
TAX RATE:
TAX DUE:
Alcohol and Spirits
04
X
$2.50 / Gallon
= $
(GLAS)
All records shall be maintained for three years and shall be available for inspection by the Director
or any agent or employee of the Director or Secretary upon request. DO NOT SEND INVOICES.
I declare under penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete return.
SIGNATURE ____________________________________________ TITLE __________________________________________________
State whether individual owner, member of firm, or title if officer of corporation.
Page 2 of 4
ABC-273 (Rev. 7.1.11)

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