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Distillers Report C-212 - Texas

Distillers Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 4/21/2010
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DISTILLER'S REPORT FORM C-212 (11/02) TABC USE ONLY ENTRY CHECKED Monthly Report of Distilled Spirits Manufactured, Bottled, Received and Disposed of During the Month/Year of: TRADE NAME: ADDRESS: CITY: ZIP CODE: PERMIT NUMBER: D PHONE NUMBER: Distilled Spirits Miniatures (units) Summary of Taxes Due 1. Inventory, Beginning of Month 2. Liquor Manufactured (Line 5 on Prior Monthly Report) (gallons) (Schedule C) 3. Liquor Received (Schedule A) 4. Total (Line 1,2,3) 5. Inventory, End of Month 6. Exemptions (Schedule B) 7. Total (Line 5 + 6) 8. Merchandise Subject to Tax 9. Tax Rate 10. Amount of Taxes (Line 8 x 9) TABC USE ONLY (Line 4 - 7) $2.40 $0.05 11. GROSS TAXES DUE (Total of Line 10) 12. LESS 2%(If payment received by due date) 13. LESS AUTHORIZED CREDITS 14. TAXES DUE STATE $ $ $ $ AFFIRMATION, Under penaltyof perjury,I swearI am an officer or an authorized representativeof the above Permittee,and I have examinedthis report, and confirm it is true, correct, and complete. Signature Title Date INSTRUCTIONS: Prepare the report in duplicate, mail the original to the T.A.B.C., PO Box 13127,Austin, TX 78711-3127on or before the 15th month, following the month for whichthe report is made. Retain one copyfor youfiles for a period of four years. Aslong as your permit remains active, you must file a report even if no business was conducted. For assistance, please contact the Compliance Department at (512) 206-3342. American LegalNet, Inc. www.FormsWorkflow.com FORM C-212 (11/02) LIQUOR RECEIVED - Schedule A DISTILLED INVOICE DATE INVOICE NUMBER VENDOR'S TRADENAME CITY STATE SPIRITS (gallons) MINIATURES (units) BULK LIQUOR (gallons) TOTAL RECEIVED (To line 3, page 1 ) * Transfer Total BULK LIQUOR GALLONS RECEIVED to Schedule C, Line 2* LIQUOR DISPOSED OF - Schedule B (Sales to Wholesalers, Exports Out-of-State, Carrier Claims,and other Exemptions) TOTAL EXEMPTIONS (To line 6, page 1) * Invoices must be submitted to support each entry * BOTTLING REPORT - Schedule C (Monthly Totals Only) 1. BEGINNING INVENTORY (From line 6 on prior Schedule E) 2. BULK RECEIVED (Schedule A Total) 3. GAIN 4. BULK DISPOSED OF (Schedules B Total) 5. LOSS 6. CLOSING INVENTORY (Bulk) 7. TOTAL GALLONS BOTTLED (Lines 1,2,3 - 4,5,6) NOTE: A separate daily bottling record itemizing total cases bottled, bottles per case and size of containers must be prepared and retained in your files. All receipts and sales of bulk liquor must be claimed on the appropriate schedules. TOTAL GALLONS OR UNITS BOTTLED (To line 2, page 1) American LegalNet, Inc. www.FormsWorkflow.com
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