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Brewpub Report C-234 - Texas

Brewpub Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 2/5/2014
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FORM C-234 (07/13) TEXAS BREWPUB REPORT Monthly Report of Malt Beverages Manufactured and Disposed of During the Month/Year of: TABC USE ONLY ENTRY CHECKED **REPORT IS DUE ON OR BEFORE THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** TRADE NAME: ADDRESS: CITY: PERMIT NUMBER: PHONE NUMBER: BEER BP ALE & MALT LIQUOR (31 gallon barrels) SUMMARY OF TAXES DUE 1. INVENTORY - BEGINNING OF MONTH (Line 4 on Prior Monthly Report) 2. BEER and ALE/MALT LIQUOR MANUFACTURED 3. TOTAL (Line 1 + 2) 4. INVENTORY - END OF MONTH 5. EXEMPTIONS (Page 2) 6. TOTAL (Line 4 + 5) 7. BARRELS SUBJECT TO TAX (Line 3 - 6) 8. TAX RATE PER 31 GALLON BARREL (31 gallon barrels) $6.00 BEER $6.14 ALE & MALT LIQUOR 9. GROSS TAX DUE (Line 7 x 8) 10. LESS 2% (If payment is received by due date) 11. LESS AUTHORIZED CREDITS (Attach letter of authorization) 12. TAX DUE FOR BEER AND ALE/MALT LIQUOR $ $ $ $ $ $ $ $ TOTAL TAX DUE STATE $ AFFIRMATION, Under penalty of perjury, I swear I am an officer or authorized representative of the above Licensee, and I have examined this report, and confirm it is true, correct, and complete. Signature E-Mail Title Date INSTRUCTIONS: This form and tax payment must be filed on or before the 15th of each month, following each reporting period. Mail to TABC, PO BOX 13127, AUSTIN, TX 78711-3127. Retain one copy for your files for a period of four years. As long as your license remains active, you must file a report even if no business was conducted. excise.tax@tabc.state.tx.us. For assistance, please contact the Tax Division at (512) 206-3342 or Page 1 American LegalNet, Inc. www.FormsWorkFlow.com FORM C-234 (07/13) SHIPMENTS TO A TEXAS DISTRIBUTOR/WHOLESALER or EXPORTED OUT-OF-STATE INVOICE DATE INVOICE NUMBER DISTRIBUTOR/WHOLESALER TRADE NAME CITY BEER (barrels) ALE/MALT LIQUOR (barrels) TOTAL EXEMPTIONS (To Line 5, Page 1) **A legible copy of each invoice must be submitted to support each entry** American LegalNet, Inc. www.FormsWorkFlow.com Page 2 C-234 (07/13) TEXAS ALCOHOLIC BEVERAGE COMMISSION SUMMARY OF BRANDS SOLD TO DISTRIBUTORS/WHOLESALERS & RETAILERS (if applicable) NUMBER OF KEGS AND CASES BRAND NAME (alphabetically) 1/2 bbl 1/4 bbl 1/6 bbl 24/12 24/16 TOTAL Page 3 American LegalNet, Inc. www.FormsWorkFlow.com
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