Arizona > Statewide > Department Of Revenue > Liquor
Domestic Farm Winery Or Domestic Microbrewery Or Domestic Cider Return Of Liquor Sold 835 - Arizona
| Domestic Farm Winery Or Domestic Microbrewery Or Domestic Cider Return Of Liquor Sold Form. This is a Arizona form and can be used in Liquor Department Of Revenue Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
ARIZONA FORM 835 Domestic Farm Winery / Domestic Microbrewery / Domestic Cider Return of Liquor Sold This return and the tax shown is due not later than the 20th day of the 1st month following the month for which this return is made and is delinquent if the tax is not paid within ten (10) days after the due date. LIQUOR LICENSE NO. TAXPAYER ID (EIN OR SSN) FOR THE MONTH OF (enter full month and 4-digit year) MONTH YYYY LEGAL BUSINESS NAME BUSINESS (OR DBA) NAME MAILING ADDRESS ADDRESS OF BUSINESS LOCATION Check if new. CITY STATE ZIP CITY STATE ZIP Check if new. NAME OF CONTACT PERSON TELEPHONE NUMBER (with area code) Check if new. E-MAIL ADDRESS FAX NUMBER (with area code) Check if new. Check if new. (a) VINOUS No. of Gallons (b) MALT No. of Gallons (c) CIDER No. of Gallons Check if new. File a separate return for each license. Read instructions beginning on page 4 prior to completing the return. 1. Gallons sold ...................................................................... 2. Deductions total gallons: a. Sold to military installations from Schedule B ........... b. Exported from Arizona from Schedule C ................... c. Sold to Arizona wholesalers from Schedule D .......... d. Tax paid beverage returned....................................... 3. TOTAL DEDUCTIONS (Add lines 2a through 2d)............... 4. Other Adjustments gain or loss ........................................ 5. Taxable gallons sold to consumers/ Arizona retail stores ......................................................... 6. Tax Rates ........................................................................... 7. Tax Due (Multiply line 5 by line 6)....................................... 8. TOTAL TAX DUE: (Add line 7, columns a, b, and c) ................................................................................... Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. I have read this report and any attachments with it. Under penalties of perjury, I declare that to the best of my knowledge and belief, they are correct and complete. PREPARER'S SIGNATURE TAXPAYER'S OR AUTHORIZED AGENT'S SIGNATURE PREPARER'S TIN DATE TITLE DATE Please mail to: Arizona Department of Revenue, Liquor Tax, 1600 West Monroe, Phoenix, AZ 85007 ADOR 14-2049f (2/07) American LegalNet, Inc. www.FormsWorkFlow.com AZ FORM 835 Check only one box: NAME OF PURCHASER Schedule B Tax Free Sales of Vinous and Malt/Cider Liquors During the Month Vinous CITY Malt STATE DATE SHIPPED Cider INVOICE DATE NUMBER NO. OF GALLONS NO. OF LITERS Total this sheet.......................................................................................................................... Total all continuation sheets ..................................................................................................... Convert liters to gallons: 1 liter = 0.264172 U.S. gallons......................................................... TOTAL GALLONS THIS MONTH: Enter here and on page 1, line 2a ..................................... Schedule C Out-of-State Sales of Vinous and Malt/Cider Liquors During the Month Check only one box: NAME OF PURCHASER Vinous CITY Malt STATE DATE SHIPPED Cider INVOICE DATE NUMBER NO. OF GALLONS NO. OF LITERS Total this sheet.......................................................................................................................... Total all continuation sheets ..................................................................................................... Convert liters to gallons: 1 liter = 0.264172 U.S. gallons......................................................... TOTAL GALLONS THIS MONTH: Enter here and on page 1, line 2b ..................................... Schedule D Sales to Licensed Arizona Wholesalers of Vinous and Malt/Cider Liquors During the Month Check only one box: NAME OF PURCHASER/ SUPPLIER Vinous CITY Malt STATE DATE SHIPPED Cider INVOICE DATE NUMBER NO. OF GALLONS NO. OF LITERS Total this sheet.......................................................................................................................... Total all continuation sheets ..................................................................................................... Convert liters to gallons: 1 liter = 0.264172 U.S. gallons......................................................... TOTAL GALLONS THIS MONTH: Enter here and on page 1, line 2c ..................................... ADOR 14-2049f (2/07) Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com AZ FORM 835 MONTH YYYY Month _______________________ Continuation Sheet Schedule ____ No. ____ Of ____ Check only one box: NAME OF SUPPLIER/ PURCHASER Vinous CITY Malt STATE Cider DATE SHIPPED/ RECEIVED INVOICE DATE NUMBER NO. OF GALLONS NO. OF LITERS TOTAL THIS SHEET: Enter amounts on Schedule B, C or D ................................................ ADOR 14-2049f (2/07) Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com AZ FORM 835 GENERAL INSTRUCTIONS: You must file this return and pay the luxury tax if you are a domestic farm winery, a domestic microbrewery, or a domestic cider producer who manufactures or produces on the premises and sells at retail or to retail licensees within the State of Arizona. You must file this return monthly and pay the tax on or before the 20th day after the month the tax accrues. Prepare this return for each month regardless of whether or not any tax is due. File the original with the Arizona Department of Revenue. Retain a copy of the form with all substantiating documentation for at least four years, subject to inspection by the Department. Report vinous liquor in wine gallons. Convert malt liquor barrels to gallons: 31 gallons per barrel. You must provide your taxpayer identification number on the return. A taxpayer identification number is either your Federal Employer Identification Number (EIN) or your Social Security Number (SSN), if you are a sole proprietor with no employees. The Licensee or Authorized Agent must sign the return. If you pay a preparer to complete this return, the preparer must sign the return and include his or her identification number. Send payment with the return to the Arizona Department of Revenue. Include your taxpayer identification number on your check. State law imposes a penalty plus interest on the amount of tax due on each return if your payment is late. State law imposes a 5% penalty per month if you fail to
|
|||||||
