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Texas Winery Report C-215 - Texas

Texas Winery Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
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FORM C-215 (11/05) TEXAS WINERY REPORT Monthly Report of Wine Manufactured, Bottled, Received and Disposed of During the Month/Year of: TRADE NAME: ADDRESS: CITY: PERMIT NUMBER: LOCATION (check one) PHONE NUMBER: Gallons TABC USE ONLY ENTRY SCHEDULES SUMMARY **REPORT IS DUE ON OR BEFORE THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** G WET DRY* SUMMARY OF TAXES DUE 1. INVENTORY, BEGINNING OF MONTH (From Line 5 on Prior Monthly Report) 2. WINE BOTTLED (Schedule E) 3. WINE RECEIVED (Schedule A) 4. TOTAL (Lines 1,2 & 3) 5. INVENTORY, END OF MONTH 6. EXEMPTIONS (Schedules B,C & D) 7. TOTAL (Line 5 + 6) 8. WINE SUBJECT TO TAX (Line 4 - 7) 9. TAX RATES 10. AMOUNT OF TAXES (Line 8 x 9) WINE 14% AND LESS WINE OVER 14% - 24% SPARKLING WINE $0.204 $ $0.408 $ $0.516 $ TABC USE ONLY 11. GROSS TAXES DUE 12. LESS 2% (Total of Line 10) $ $ $ $ (If payment is received by due date) 13. LESS AUTHORIZED CREDITS (Attach letter of authorization) 14. TAXES DUE STATE *DRY STATUS LOCATION, Wine sold or dispensed is bottled in this state and at least 75 percent by volume fermented juice of grapes or other fruit grown in this state. AFFIRMATION, Under penalty of perjury, I swear I am an officer or authorized representative of the above Permittee, and I have examined this 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 78711-3127 on or before the 15th of each month, following the month for which the report is made. Retain one copy for your files for a period of four years. As long as your permit remains active, you must timely file a report even if no business was conducted. For assistance, please contact the Compliance Department at (512) 206-3342. Forms are available on our website at (www.tabc.state.tx.us). Page 1 American LegalNet, Inc. www.FormsWorkflow.com FORM C-215 (11/05) WINE RECEIVED - Schedule A INVOICE DATE INVOICE NUMBER TRADE NAME CITY / STATE WINE 14% AND LESS Gallons WINE OVER WINE 14% - 24% SPARKLING BULK* WINE CARRIER MAKING DELIVERY FREIGHT BILL NUMBER TOTAL RECEIVED (To line 3, page 1) * Transfer Total BULK WINE GALLONS RECEIVED to Schedule E, Line 2 WINE DISPOSED OF: SALES TO TEXAS WHOLESALERS OR OTHER WINERIES - Schedule B (Invoices must be submitted to support each entry) EXPORTS OUT-OF-STATE - Schedule C (Invoices must be submitted to support each entry) OTHER ALLOWABLE EXEMPTIONS - Schedule D (Documentation must be submitted to support each entry) TOTAL EXEMPTIONS (To line 6, page 1) * Transfer Total BULK WINE GALLONS DISPOSED OF to Schedule E, Line 3 NOTE: The spaces provided above for Schedules B,C and D should reflect monthly totals only. If more than one entry per schedule is needed, attach a supplemental schedule. BOTTLING REPORT - Schedule E (Monthly Totals Only) NOTE: 1. BEGINNING INVENTORY (From line 5 on prior Schedule E) 2. BULK RECEIVED (From Schedule A Total) 3. BULK DISPOSED OF (Schedules B, C, D) 4. LOSS / GAIN (Evaporation, Spillage, Additives, etc.) 5. CLOSING INVENTORY (Bulk) 6. TOTAL GALLONS BOTTLED (Lines 1,2 - 3,4,5) A separate daily bottling record itemizing total cases bottled, bottles per case and size of containers must be perpared and retained in your files. All receipts and sales of bulk wine must be claimed on the appropriate schedules. TOTAL GALLONS BOTTLED BY CLASS (To line 2, page 1) American LegalNet, Inc. www.FormsWorkflow.com Page 2 FORM C-215 (11/05) SUPPLEMENTAL SCHEDULE: (circle one) A B C D Gallons INVOICE DATE INVOICE NUMBER TRADENAME CITY / STATE WINE 14% AND LESS WINE OVER 14% - 24% WINE SPARKLING BULK WINE CARRIER MAKING DELIVERY FREIGHT BILL NUMBER TOTAL American LegalNet, Inc. www.FormsWorkflow.com
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