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Gallonage Tax Remittance Voucher ABC-216 - Kansas
| Gallonage Tax Remittance Voucher Form. This is a Kansas form and can be used in Liquor License Forms And Registration Alcohol Beverage Control Statewide . |
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Kansas Department of Revenue Alcoholic Beverage Control Division 915 S.W. Harrison Street, Room 214 Topeka, KS 66625-3512 Phone: 785-296-7015 Fax: 785-296-7185 ALCOHOLIC BEVERAGE CONTROL GALLONAGE TAX REMITTANCE VOUCHER Distributors' EDI and Web Filers MONTH:_______________ YEAR: __________ FEIN: ___ ___ - ___ ___ ___ ___ ___ ___ ___ TODAY'S DATE: _____________________________________________________________________ DISTRIBUTOR NAME: ________________________________________________________________ LICENSE NUMBER: __________________________________________________________________ CONTACT PERSON: _________________________________________________________________ EMAIL ADDRESS: ___________________________________________________________________ I have filed my Liquor Enforcement Tax Return electronically. GALLONAGE TAX PAYMENT DISTRIBUTION PRODUCT TYPE: Alcohol and Spirits Fortified Wine Light Wine Beer Cereal Malt Beverage Flavored Malt Beverage Strong Flavored Malt Beverage Weak DEPOSIT CODE: (GLAS) (FWGL) (LWGL) (GLBR) (MBTX) ( GFMB) (FMBT) $ $ $ $ $ $ $ TAX AMOUNT DUE: TOTAL REMITTANCE = $ ABC 216 (Rev 7.1.11) American LegalNet, Inc. www.FormsWorkFlow.com
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