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Wholesaler Malt Liquor Report C-233 - Texas

Wholesaler Malt Liquor Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 3/17/2010
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FORM C-233 (03/09) TEXAS WHOLESALER REPORT Monthly Report of Ale and Malt Liquor Reporting Period: TABC USE ONLY ENTRY REG # SUMMARY **REPORT IS DUE ON OR BEFORE THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** TRADE NAME: ADDRESS: CITY: ZIP CODE: PERMIT NUMBER: PHONE NUMBER: GALLONS Summary of Taxes Due 1. Inventory, Beginning of Month (Line 4 on Prior Monthly Report) 2. Malt Liquor Received (Page 2, Line 1) 3. Total (Line 1 + 2) 4. Inventory, End of Month 5. Exemptions (Page 2, Line 2) 6. Total (Line 4 + 5) 7. Malt Liquor Subject to Tax (Line 3 - 6) 8. Tax Rate Per Gallon (rounded off to the second decimal place) $0.198 9. GROSS TAXES DUE (Line 7 x 8) $ $ $ $ 10. LESS 2% (If payment is received by due date) 11. LESS AUTHORIZED CREDITS (Attach letter of authorization) 12. TAXES DUE STATE AFFIRMATION, Under penalty of perjury, I swear I am an officer or an authorized representative of the above Permittee, and I have examined this report, and confirm it is true, correct, and complete. The following box must be checked if the permittee did not purchase, sell, or possess Distilled Spirits and Wine. Other wise, Form C-210 must be filed. Signature E-Mail Title Date INSTRUCTIONS: Prepare the report in duplicate, mail the original to the T.A.B.C., PO Box 13127, Austin, TX 78711-3127. Report must be filed on or before the 15th day of the month following each reporting period. 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 conducted. Report malt liquor in terms of gallons rounded off to the second decimal place. For assistance, please contact the Excise Tax Department at (512) 206-3342 or excise.tax@tabc.texas.gov. PAGE 1 American LegalNet, Inc. www.FormsWorkFlow.com TEXAS ALCOHOLIC BEVERAGE COMMISSION FORM C-233 (03/09) MALT LIQUOR RECEIVED - Schedule A (retain invoices for audit purposes ) INVOICE DATE INVOICE NUMBER SUPPLIER'S TRADE NAME CITY / STATE GALLONS (rounded off to the second decimal place) CARRIER MAKING DELIVERY 1. TOTAL RECEIVED (To Line 2, Page 1) MALT LIQUOR DISPOSED OF: SALES TO TEXAS DISTRIBUTORS - Schedule B (invoices must be submitted to support each entry ) SALES TO MILITARY INSTALLATIONS - Schedule C (retain invoices for audit purposes ) EXPORTS OUT-OF-STATE - Schedule D (retain invoices for audit purposes ) CARRIER CLAIMS & DESTRUCTIONS - Schedule E (documents must be submitted to support each entry ) 2. TOTAL EXEMPTIONS (To Line 5, Page 1) NOTE: The spaces provided above for Schedules B,C,D and E should reflect monthly totals only. If more than one entry per schedule is needed, attach a supplemental schedule(s). PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com TEXAS ALCOHOLIC BEVERAGE COMMISSION SUMMARY OF MALT LIQUOR BRANDS AND PACKAGE SIZES SUBJECT TO TAX (sales to retailers ) TRADE NAME: PERMIT NUMBER: MONTH/YEAR: BRAND NAME (alphabetically) 1/2 bbl 1/4 bbl 24/12 can 24/12 btl PACKAGE SIZES TOTAL American LegalNet, Inc. www.FormsWorkFlow.com
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