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Vintners Wine Report 73A576 - Kentucky
| Vintners Wine Report Form. This is a Kentucky form and can be used in Department Of Revenue Statewide . |
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73A576 (2-11) Commonwealth of Kentucky DEPARTMENT OF REVENUE FOR DEPARTMENT USE ONLY VINTNER'S WINE REPORT ___ ___ ___ ___ ___ ___ /___ ___ / ___ ___ / ___ ___ * * Account Number Tax Mo. Yr. File with the Department of Revenue on or before the 20th of the month following the month for which the report is made. If a small farm winery, this report is due on or before the 20th of the month following the quarter for which the report is made. Name and Address of Vintner Revenue Account Number______________________ State License Number_________________________ Report for Month of __________________________________, 20 _____ Part I--Wine Excise Tax Report 1. Direct sales to Kentucky retailers and consumers (as shown on Form 73A530) 2. Samples taken from Kentucky inventory ............................. 3. Other ............................................................ 4. Total subject to excise tax (add lines 1, 2 and 3) ................................... 5. Less quantities returned by retailers and consumers (complete schedule on reverse side) ........... 6. Balance subject to excise tax (line 4 minus line 5) ..................................... 7. Tax rate per case .......................................... 8. Excise tax applicable (line 6 times line 7) ...................................... 9. Miscellaneous credits and charges ......................................................... $ $ $ $ $ $ $ 21 Number of Cases 4 Gal. 3.2 Gal. 3 Gal. 2.4 Gal. 12 Liters 9 Liters Half-Pint Miniatures 187 Mls. Other (specify) $ 2.00 $ 1.60 $ 1.50 $ 1.20 $ 1.59 $ 1.19 $ 1.19 $ 4.80 $ $ 10. Total excise tax due (total of all items on line 8 plus or minus line 9) ................................................................................. Part II--Wine Wholesale Sales Tax Report 11. Gross receipts from sales of wine to Kentucky retailers and consumers (tax included) .................................. $ ___________________ 12. Receipts from sales of wine produced by small farm winery ........................................................................... $ ___________________ 13. Net receipts (line 11 minus line 12) .................................................................................................................. $ ___________________ 14. Taxable receipts (line 13 divided by 1.11) ....................................................................................................... $ ___________________ 15. Gross tax applicable (line 14 times .11) ........................................................................................................... $ ___________________ 16. Collection and reporting fee (line 15 times .01) ............................................................................................... $ ___________________ 17. Net tax due (line 15 minus line 16) ................................................................................................................... $ ___________________ 18. Miscellaneous credits and charges .................................................................................................................... $ ___________________ 19. Total wholesale sales tax due (line 17 plus or minus line 18) ................................................................. 24 $ ___________________ IMPORTANT NOTICE Make check(s) payable to Kentucky State Treasurer. Mail report and check(s) to Kentucky Department of Revenue, Frankfort, Kentucky 40619. I, the undersigned, a principal officer of the above-named licensee, certify that I have examined this report and it is, to the best of my knowledge and belief, a true, correct and complete report. _________________________________________________ Signature _____________________________ Title __________________________ Date American LegalNet, Inc. www.FormsWorkFlow.com 73A576 (2-11) SCHEDULE OF WINE RETURNED BY KENTUCKY WHOLESALERS AND RETAILERS/CONSUMERS Name of Wholesaler of Retailer/Consumer Date Returned Page 2 Number of Cases 4 Gal. 3.2 Gal. 3 Gal. 2.4 Gal. 12 Liters 9 Liters Half-Pint 187 Mls. Miniatures Other (specify) Gross receipts from sales at wholesale or wholesale sales shall not include the following sales: · · Sales made between wholesalers or between distributors. Sales made by a small farm winery or wholesaler of wine produced by a small farm winery. Between July 15, 1994 and January 1, 2007, sales from a small winery or wholesaler of wine produced by a small winery are exempt from the wholesale sales tax only, if the grapes, grape juices, other fruits, other fruit juices or honey from which the wine is made are produced in Kentucky. KRS 131.180 imposes a penalty of 2 percent of the tax, up to a maximum of 20 percent of the tax for each 30 days or fraction thereof that the report is filed late. In no case shall the penalty be less than $10. KRS 131.180 imposes a penalty of 2 percent of the tax, up to a maximum of 20 percent of the tax for each 30 days or fraction thereof for failure to pay the tax by the due date. In no case shall the penalty be less than $10. Additional information may be obtained by contacting the Excise Tax Section, Department of Revenue, Station 62, P.O. Box 1303, Frankfort, Kentucky 40602-1303, or by calling (502) 564-4409. American LegalNet, Inc. www.FormsWorkFlow.com
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