Texas Winery And Wine Bottlers Report {C-215}

FORM C-215 (02/16) TEXAS WINERY AND WINE BOTTLER'S REPORT Monthly Report of Wine Bottled, Received and Sold During the Month/Year of: **REPORT IS DUE ON OR BEFORE THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** TABC USE ONLY ENTRY SCHEDULES SUMMARY TRADE NAME: ADDRESS: CITY: EMAIL: PERMIT NUMBER: G LOCATION (check one) WET PHONE NUMBER: BOTTLED WINE GALLONS DRY* SUMMARY OF TAXES DUE 1. 2. 3. 4. 5. 6. 7. 8. BEGINNING BOTTLED INVENTORY (From Line 5 on Prior Monthly Report) WINE 14% AND LESS TEXAS OUT-OF-STATE TEXAS WINE OVER 14% - 24% OUT-OF-STATE TEXAS SPARKLING WINE OUT-OF-STATE Year-To-Date Totals WINE BOTTLED ON PREMISE (Schedule C) BOTTLED WINE PURCHASED (Schedule A) TOTAL WINE AVAILABLE (Sum of Lines 1,2,3) 0 0 0 0 0 0 TOTAL INVENTORY, END OF MONTH (Excludes bulk product) WHOLESALER & OTHER WINERIES SALES (Schedule B1) OTHER EXEMPTIONS (Schedule B2) TOTAL EXEMPTIONS (Line 5 + 6 + 7) 0 0 $0.204 $0.00 TEXAS WINE TOTAL $0.204 $0.00 0 0 $0.408 $0.00 $0.00 0 0 $0.408 $0.00 0 0 $0.516 $0.00 0 0 $0.516 $0.00 $0.00 0 0 0 9. WINE SUBJECT TO TAX (Line 4 minus 8) 10. TAX RATES 11. AMOUNT OF TAXES (Line 9 x 10) OUT-OF-STATE WINE TOTAL Compliance Totals - Total Gallons Of All Wine Types For This Period A. WINE SOLD TO RETAILERS B. WINE SOLD TO CONSUMERS FOR CONSUMTPTION AT THE WINERY C. WINE SHIPPED DIRECT AND SOLD TO-GO TO CONSUMERS IN TEXAS YTD Compliance Totals *Gallonage reporting information is required in order to satisfy Chapters 16 and 205 of the Texas Alcoholic Beverage Code. TABC USE ONLY 12. GROSS TAXES DUE 13. LESS 2% (Total Texas and Out-of-State Wine tax due) 0.00 $ (If payment is received by due date) 14. LESS AUTHORIZED CREDITS (Attach letter of authorization) 15. TAXES DUE STATE *DRY STATUS LOCATION, Wine sold or dispensed must be bottled in this state with at least 75 percent by volume fermented juice of grapes or other fruit grown in this state. Percentage may vary from year to year based on statistics compiled by the Department of Agriculture. 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. 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 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 permit remains active, you must timely file a report even if no business was conducted. For assistance, please contact the Excise Tax Department at (512) 206-3342 or excise.tax@tabc.texas.gov. Forms are available on our website at (www.tabc.state.tx.us). American LegalNet, Inc. www.FormsWorkFlow.com