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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 . |
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BREWPUB REPORT TEXAS ALCOHOLIC BEVERAGE COMMISSION Monthly Report of Beer and Malt Liquor Manufactured and Disposed of During the Month of: , FORM C-234 (06/99) TABC USE ONLY ENTRY SUMMARY TRADE NAME: ADDRESS: CITY: ZIP CODE: LICENSE NUMBER: BP PHONE NUMBER: Beer Ale & Malt Liquor (barrels) Summary of Taxes Due 1. Inventory, Beginning of Month (Line 4 on Prior Monthly Report) 2. Beer or Malt Liquor Manufactured 3. Total (Line 1 + 2) 4. Inventory, End of Month 5. Laboratory Use 6. Witnessed Destruction's 7. Inventory Shortages (explanation required) 8. Total (Lines 4,5,6,7) 9. Merchandise Subject to Tax (Line 3 - 8) 10. Tax Rates (barrels) $4.50 Beer $6.14 Malt Liquor 11. GROSS TAXES DUE (Line 9 x 10) $ $ $ $ $ $ 12. LESS 2% (If payment is received by due date) 13. LESS AUTHORIZED CREDITS (Attach letter of authorization) 14. TAXES DUE STATE $ $ AFFIRMATION, Under penalty of perjury, I swear I am an officer or an authorized representative of the above Licensee, 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 license remains active, you must file a report even if no business was conducted. Report beer and malt liquor in terms of barrels of 31 gallons rounded off to the second decimal place. American LegalNet, Inc. For assistance, please contact the Compliance Department at (512) 206-3342. www.FormsWorkflow.com
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