Nebraska > Statewide > Liquor Control Commission
Direct Shipper Tax Return 35-7140 - Nebraska
| Direct Shipper Tax Return Form. This is a Nebraska form and can be used in Liquor Control Commission Statewide . |
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NEBRASKA LIQUOR CONTROL COMMISSION REVENUE DIVISION DIRECT SHIPPER TAX RETURN BEER, SPIRITS, AND WINE SHIPPER NAME_____________________________________________________________________________ ADDRESS (Street, City, State, Zip)______________________________________________________________ LICENSE NUMBER_____________________________ TAX PERIOD BEGINNING________________________20_______ENDING_____________________20_______ (Taxes Due Include Sales From January 1 Through December 31 Of Each Year) BEER 1. TOTAL GALLONS SOLD TO CONSUMERS INCLUDE INVOICES-SEE INSTRUCTIONS SPIRITS _________ WINE _________ _________ 2. TAX RATE PER GALLONS FOR EACH CLASS 3. TOTAL AMOUNT OF TAX DUE ON EACH CLASS Line 1 Times Line 2 4. GROSS TAX DUE ON ALL CLASSES Total of Line 3 Across 5. LESS 1% DISCOUNT 1% ( .01) Of Line 4 6. NET TAX DUE (ROUND TO NEAREST DOLLAR) Line 4 Minus Line 5 $ X .31 $ X 3.75 $ X .95 $ $ $ I Hereby Swear That The Foregoing Is True and Correct To The Best Of My Knowledge As Shown By Our Records For The Year 20_________ PRINT NAME SIGNATURE TELEPHONE NUMBER AND EMAIL ADDRESS 2 COPIES OF THIS RETURN MUST BE FILED WITH THE NEBRASKA LIQUOR CONTROL COMMISSION 301 CENTENNIAL MALL SOUTH, PO BOX 95046, LINCOLN, NEBRASKA 68509-5046 THIS FORM AND TAXES MUST BE FILED AND PAID ON OR BEFORE THE 25TH OF JANUARY www.lcc.ne.gov/ TELEPHONE 402-471-2571 FAX 402-471-2814 FORM 35-7140 11/06 American LegalNet, Inc. www.FormsWorkFlow.com
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