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Excise And Use tax Filing DLC 1516 - Ohio
| Excise And Use tax Filing Form. This is a Ohio form and can be used in Division Of Liquor Control Department Of Commerce Statewide . |
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DIRECT SHIPMENT OF BEER & WINE TO OHIO RESIDENTS OHIO EXCISE AND USE TAX FILING Ohio Department of Commerce Division of Liquor Control Beer & Wine Section 6606 Tussing Road, P.O. Box 4005 Reynoldsburg, Ohio 43068-9005 614-644-2411 DIVISION USE ONLY A resident of the state of Ohio may import into the state of Ohio beer or wine, provided that: Received (1) The beer or wine is for the Ohio resident s personal use and not for resale (2) The Ohio resident is an individual who is twenty-one years of age or older (3) The laws of the United States allow the shipment of the beer or wine into the United States (4) All taxes due the state of Ohio shall be paid prior to the importation, or within thirty days of the receipt of beer or wine Date Sent to Taxation Date Signature NAME OF OHIO RESIDENT Name Street Address City/State/Zip Phone NAME OF COMPANY FROM WHOM BEER OR WINE IS PURCHASED Name Street Address City/State/Zip Phone Date of entry of the alcoholic beverages into Ohio OHIO EXCISE AND USE TAX SECTION for questions regarding taxes, call 614-466-7026 Effective January 1, 1993, Ohio EXCISE TAX on beer and wine is: Wine (containing 4% - 14% ABV) Wine (containing more than 14% - 21% ABV) Vermouth Per Gallon $0.32 $1.00 $1.10 Per Case $0.76 $2.38 $2.62 Sparkling/carbonated Wine & Champagne Beer (per case of 24 Per Gallon $1.50 Per Case $3.57 12 oz. cans/bottles) $0.40 USE TAX is calculated on the purchase price x the applicable county (where you reside) sales/use tax rate: (Example: $250.00 x 7% = $17.50) TYPE OF ALCOHOLIC BEVERAGE (wine/vermouth/sparkling/beer) ALCOHOL CONTENT (% ABV wine only) AMOUNT GALLONS/ BOTTLES/ OR CASES PURCHASE PRICE AMOUNT OF USE TAX DUE AMOUNT OF EXCISE TAX DUE TOTAL: $ TOTAL AMOUNT TO BE REMITTED (USE TAX DUE + EXCISE TAX DUE) MAKE CHECK OR MONEY ORDER PAYABLE TO: TREASURER OF STATE Mail check and form to Ohio Division of Liquor Control at the above address $ $ SWORN STATEMENT: I declare under penalties of perjury that I am 21 years of age or older, that this filing to the best of my knowledge and belief is true, correct and complete, and that the tax submitted to the State of Ohio is accurate for the above purchases. Signature of Applicant DLC 1516 (Rev. 12-05) Date An Equal Opportunity Employer and Service Provider TY Users Dial ORS 1-800-750-0750 American LegalNet, Inc. www.FormsWorkflow.com
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