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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 3/3/2016
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FORM C-234 (01/16) TEXAS BREWPUB REPORT Monthly Report of Beer & Ale/Malt Liquor Reporting Period: **REPORT IS DUE ON OR BEFORE THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** TABC USE ONLY ENTRY REG # SUMMARY TRADE NAME: ADDRESS: CITY: ZIP CODE: LICENSE NUMBER: BP EMAIL: PHONE NUMBER: GALLONS OF MALT BEVERAGES BEER ALE/ MALT LIQUOR (greater than 4% ABW) CALENDAR YTD (year-to-date ) Summary of Tax Due 1. 2. 3. 4. 5. 6. 7. 8. 9. Inventory, Beginning of Month (Line 5 on Prior Monthly Report) Malt Beverages Manufactured (Gallons Bottled & Kegged) Malt Beverages Returned from TX Market (Page 2, Line 1) Total Malt Beverages Available (Sum of Lines 1,2,3) Inventory, End of Month Distributor/Wholesaler Sales (Page 2, Line 3) Other Exemptions (Page 2, Line 4) Total Exemptions (Sum of Lines 5, 6 & 7 ) Malt Beverages Subject to Taxation (Line 4 minus Line 8) (4% ABW and less) 0 0 0 0 0 0 0 10. Tax Rate Per Gallon Compliance Totals $0.193548 $0.1980 A. B. Total Malt Beverages Sold to Retailers (Page 2, Line 2) Total Malt Beverages Sold to Consumer *Compliance totals gallonage reporting information is required in order to satisfy requirements in Chapter 74 of the Texas Alcoholic Beverage Code. BEER ALE & MALT LIQUOR TABC USE ONLY GROSS TAX DUE (Line 9 x 10) LESS 2% (If payment post marked by due date ) LESS AUTHORIZED CREDITS (Attach TABC letter ) TAX DUE FOR BEER AND ALE/MALT LIQUOR 0.00 0.00 0.00 0.00 TOTAL TAX 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 E-Mail Title Date INSTRUCTIONS: This form, tax payment, and any attachments must be filed on or before the 15th day of the month follwing each reporting period. Mail to TABC, PO BOX 13127, AUSTIN, TX 78711-3127. Retain one copy for your files for a period of 4 years. As long as your license remains active, you must file a report even if no business was conducted. For assistance, please contact the Tax Division at (512) 206-3342 or excise.tax@tabc.texas.gov. Page 1 American LegalNet, Inc. www.FormsWorkFlow.com
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