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Brewers Report C-236 - Texas

Brewers Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 3/4/2011
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BREWER'S REPORT Monthly Report of Ale & Malt Liquor Brewed, Received and Disposed of During the Month/Year of: **REPORT IS DUE ON THE 15TH DAY OF EACH MONTH FOLLOWING EACH REPORTING PERIOD** FORM C-236 (01/11) TABC USE ONLY ENTRY CHECKED REGISTER NUMBER TRADE NAME: ADDRESS: CITY: SUMMARY OF TAXES DUE 1. INVENTORY, BEGINNING OF MONTH (From Line 7 on Prior Monthly Report) 2. ALE & MALT LIQUOR BREWED 3. ALE & MALT LIQUOR IMPORTED (Attach schedule) 4. RETURNS FROM TEXAS MKT. (Attach schedule) 5. INVENTORY ADJUSTMENT - OVER 6. TOTAL ALE & MALT LIQUOR AVAILABLE (Lines 1,2,3,4,5) 7. INVENTORY, END OF MONTH 8. SALES TO TEXAS WHOLESALERS (Attach schedule) 9. EXPORTS OUT-OF-STATE 10. PLANT BREAKAGE / DESTRUCTIONS / CARRIER CLAIMS / LAB USE 11. INVENTORY ADJUSTMENT - SHORT 12. TOTAL EXEMPTIONS (Lines 7,8,9,10,11) 13. ALE & MALT LIQUOR SUBJECT TO TAX (Line 6 - 12) 14. TAX RATES (Based on $0.198 Per Gallon) 15. AMOUNT OF TAXES (Line 13 x 14) PERMIT NUMBER: B ZIP CODE: BARRELS 1/2 BBL. 1/4 BBL. 1/6 BBL. 24/12 (B) PHONE NUMBER: CASES: 24/12 (C) 24/16 (B) (B) = Bottles (C) = Cans $3.0690 $ $1.5345 $ $1.0230 $ $0.4455 $ $0.4455 $ $0.5940 $ $ $ $ $ $ $ $ $ $ $ $ $ NOTE: Case Tax Rate = (# of Bottles x Ounces) / 128 x $0.198 AFFIRMATION, Under penalty of perjury, I swear I am an officer or authorized representative of the above Permittee, and I have examined this report, and confirm it is true, correct, and complete. GROSS TAX DUE (Total of Line 15) LESS 2% (If payment received by due date) Signature E-Mail Address Title Date $ TABC USE ONLY $ INSTRUCTIONS: This form, tax payment, and any attachments must be filed on or before the 15th day 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 permit remains active you must file a report even if no business was years. active, conducted. For assistance, please contact the Tax Division at (512) 206-3342 or excise.tax@tabc.state.tx.us. LESS AUTHORIZED CREDIT $ (Attach letter of authorization) TOTAL TAX DUE $ American LegalNet, Inc. www.FormsWorkFlow.com
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