Alcoholic Beverages Tax Alcoholic Beverages Shipped Into Connecticut {AU-933}

Name and AddressOf person, 336 rm, or corporation to whom alcoholic beverages were sold(must be a Connecticut address)Invoice NumberBeerConvert draft size to bbls.BarrelsAll other containersWine GallonsDistilled LiquorWine GallonsStill WinesNot Over 21% AlcoholWine GallonsForti336 ed WinesOver 21%Alcohol and SPARKLING WINESWine GallonsAlcohol and Components for ManufacturingProof GallonsLiquor CoolersNot Over 7% AlcoholWine Gallons 1. This form is to be 336 led with the Department of Revenue Services on or before the tenth day of the month following the month in which the sales listed were made.2. A copy must be sent to the Department of Consumer Protection, Attn: Liquor Control Division, 450 Columbus Blvd Ste 901, Hartford, CT 06103.Form AU-933Alcoholic Beverages TaxAlcoholic Beverages Shipped Into ConnecticutFor the month of , Name of Distributor: Address: State of ConnecticutDepartment of Revenue ServicesExcise/Public Services Taxes Subdivision450 Columbus Blvd Ste 1Hartford Ct 06103-1837Rev. 03/17Date ShippedBy Wineries Producing More Than 55,000 Wine Gallons per yearBy Wineries Producing Less Than 55,000 Wine Gallons per year (Small Wineries) American LegalNet, Inc. www.FormsWorkFlow.com Form AU-933 Back (Rev. 02/17)Total Name and AddressOf person, 336 rm, or corporation to whom alcoholic beverages were sold(must be a Connecticut address)Invoice NumberBeerConvert draft size to bbls.BarrelsAll other containersWine GallonsDistilled LiquorWine GallonsStill WinesNot Over 21% AlcoholWine GallonsForti336 ed WinesOver 21%Alcohol and SPARKLING WINESWine GallonsAlcohol and Components for ManufacturingProof GallonsLiquor CoolersNot Over 7% AlcoholWine Gallons Date ShippedBy Wineries Producing More Than 55,000 Wine Gallons per yearBy Wineries Producing Less Than 55,000 Wine Gallons per year (Small Wineries) American LegalNet, Inc. www.FormsWorkFlow.com