2014 Excise Tax Forms

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Name	Type	Description	Revised
ALCOHOL BEVERAGE TAX/ ALCOHOL DISTRIBUTOR TAX
AU-933	Form & Inst.	Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut	06/1991
BT-4-BW	Form & Inst.	Monthly Report of Custom Bonded Warehouses	03/2005
BT-5 Schedule A	Form & Inst.	Alcoholic Beverages Tax, Receipt of Tax Free Purchases and Tax Free Returns	04/2001
BT-5A Schedule A1	Form & Inst.	Alcoholic Beverages Tax in Transit Items	06/2001
BT-6 Schedule B	Form & Inst.	Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns	07/2000
BT-7 Schedule C	Form & Inst.	Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut	04/2001
BT-8 Schedule D	Form & Inst.	Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors	04/2001
BT-18	Form & Inst.	Alcoholic Beverages Tax Customs Clearance Certificate	06/2001
BT-20	Form & Inst.	Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate	09/2001
BT-21	Form & Inst.	Alcoholic Beverages Tax - Exemption Certificate	09/2001
BT-22	Form & Inst.	Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers	03/2005
BT-22(1)	Form & Inst.	Alcoholic Beverage Tax Inventory Report of Alcohol in Excess of 100 Proof	09/2001
BT-22(2)	Form & Inst.	Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages	08/2001
BT-22(3)	Form & Inst.	Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages	08/2001
BT-22(4)	Form & Inst.	Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages Distilled Liquors	10/2001
BT-22(5)	Form & Inst.	Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages	10/2001
BT-22(6)	Form & Inst.	Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages	09/2001
BT-22(7)	Form & Inst.	Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages	10/2001
BT-100	Form & Inst.	Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption	03/2005
BT-101	Form & Inst.	Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption	03/2005
BT-FW	Form & Inst.	Schedule C - (Farm Wineries) Alcoholic Beverages Tax Wine Shipped Outside of Connecticut	11/2001
BW-1	Form & Inst.	Alcoholic Beverages Tax Merchandise Placed in a Custom Bonded Warehouse	05/2002
BW-2	Form & Inst.	Alcoholic Beverages Tax Merchandise Withdrawn From a Custom Bonded Warehouse	05/2002
Form S&BT	Form & Inst.	Alcoholic Beverages Tax - Payment of Taxes Due on the Importation of Alcoholic Beverages	07/2011
O-255	Form & Inst.	Wholesale Alcoholic Beverage Tax Return	07/2011

Name	Type	Description	Revised
CIGARETTE TAX
AU-75	Form & Inst.	Tax Return for Persons in Possession of Unstamped Cigarettes	07/2011
CT-15	Form & Inst.	Monthly Tax Stamp and Cigarette Report Resident Distributor	07/2011
CT-15A	Form & Inst.	Monthly Tax Stamp and Cigarette Report Nonresident Distributor	07/2011
CT-19 Sch. A	Form & Inst.	Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired	10/2005
CT-19A Sch. A-1	Form & Inst.	Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed	10/2005
CT-23 Sch. B	Form & Inst.	Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government	06/2007
CT-24 Sch. D	Form & Inst.	Unstamped Cigarettes Transferred to Another Distributor Within Connecticut	06/2007
CT-25 Sch. C	Form & Inst.	Sales and Transfers of Unstamped Cigarettes Outside of Connecticut	06/2007
CT-27 Sch. E	Form & Inst.	Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut	06/2007
CT-28 Sch. F	Form & Inst.	Sales and Transfers of Connecticut-Stamped Cigarettes Outside of Connecticut	06/2007
CT-29 Schedule G	Form & Inst.	Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors	07/2007
CT-30	Form & Inst.	Cigarette Tax Refund Claim Stamps Affixed to Packages	07/2007
CT-31	Form & Inst.	Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors	07/2011
CT-31A	Form & Inst.	Cigarette and Unaffixed Stamp Inventory Report for Nonresident Distributors	07/2011
CT-38	Form & Inst.	Record of Cigarette Stamps Purchased Nonresident Distributor	07/2011
CT-39	Form & Inst.	Record of Cigarette Stamps Purchased Resident Distributor	07/2011
CT-40	Form & Inst.	Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor	01/2002
O-252	Form & Inst.	Order Form For Connecticut Cigarette Tax Stamps	07/2011
OR-318	Form & Inst.	Cigarette Vending Machine Location Change	09/2009
Schedule H	Form & Inst.	Cigarette Packages Stamped During the Month	03/2007

Name	Type	Description	Revised
CIGARETTE manufacturers
OR-131 NPM	Form & Inst.	Nonparticipating Manufacturer Surety Bond	12/2014
Form TPM-1	Form & Inst.	2013 Certification of Compliance and Affidavit by Nonparticipating Manufacturer	03/2014
Form TPM-2 Instructions	Form & Inst.	Certification for Listing in the Connecticut Directory as of July 1, 2014	03/2014
Form TPM-3	Form & Inst.	2013 Brand Families Unit Sales Schedule - Sales Made During the Calendar Year 2013	03/2014
Form TPM-4	Form & Inst.	Notice of Appointment of Registered Agent and Registered Agent's Statement	03/2006

Name	Type	Description	Revised
SPECIAL Fuel Tax Returns
OP-216	Form & Inst.	Special Fuel Tax Return	07/2014
MF-R	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Receipts	05/2009
MF-D	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Disbursements	06/2009

Previous Version for Reporting Periods on or Before June 30, 2014
OP-216	Form & Inst.	Special Fuel Tax Return	07/2013

gasohol tax - See Motor Vehicle Fuels Tax

gasoline tax - See Tax Paid Motor Vehicle Fuels Tax

Name	Type	Description	Revised
Motor Vehicle Fuels Tax
O-MF	Form & Inst.	Motor Vehicle Fuels Tax Return	06/2014
MF-R	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Receipts	05/2009
MF-D	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Disbursements	06/2009
MVF-3	Form & Inst.	Terminal Operator's Monthly Gasoline Activity Schedule	11/2010

Name	Type	Description	Revised
Motor Vehicle Fuels Tax Refunds
AU-724	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use	7/2014
AU-725	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim - Farm Use	7/2014
AU-736	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery	7/2014
AU-737	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus)	7/2014
AU-738	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program	7/2014
AU-741	Form & Inst.	2014 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans	7/2014

Name	Type	Description	Revised
Motor Vehicle Fuels Exporter
AU-726	Form & Inst.	Motor Vehicle Fuels Exporter Monthly Report	03/2006

Name	Type	Description	Revised
Motor Vehicle Fuels Tax Exemption
AU-302	Form & Inst.	Farmer Declaration Motor Vehicle Fuels Tax Exemption	05/2006
AU-477	Form & Inst.	Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption	01/2002
AU-750	Form & Inst.	Monthly Report of Motor Fuel Carrier	10/2010

Name	Type	Description	Revised
Petroleum Product Gross Earnings Tax
OP-161	Form & Inst.	Petroleum Products Gross Earnings Tax Return	07/2014
OP-161 Schedule A	Form & Inst.	Schedule to use when the sales price is in excess of $3.00 per gallon	04/2012
OP-161 Schedule B	Form & Instruction	2013 Schedule to use when the sales price is in excess of $3.264 per gallon	07/2013
OP-161 Schedule B	Form & Inst.	2012 Schedule to use when the sales price is in excess of $3.225 per gallon	04/2012
CERT-116	Form & Inst.	2013 Exempt Petroleum Products Certificate	07/2013
CERT-116	Form & Inst.	2014 Exempt Petroleum Products Certificate	07/2014
OP-218	Form & Inst	2013 Petroleum Products Gross Earnings Tax Certificate	07/2013
OP-218	Form & Inst.	2010 Petroleum Products Gross Earnings Tax Certificate	10/2010
OP-219	Form & Inst.	2013 Petroleum Products Gross Earnings Tax - Gross Earnings - Out-of-State Declaration With Reference to the Sales of Petroleum Products Sold Exclusively for Sale or Use in Another State	07/2013
OP-219	Form & Inst.	2010 Petroleum Products Gross Earnings Tax - Gross Earnings - Out-of-State Declaration With Reference to the Sales of Petroleum Products Sold Exclusively for Sale or Use in Another State	10/2010

Name	Type	Description	Revised
tax paid motor vehicle fuels tax
O-MF 1	Form & Inst.	Tax Paid - Motor Vehicle Fuel Tax Return	05/2006
MF-R	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Receipts	05/2009
MF-D	Form & Inst.	Motor Vehicle Fuels Tax Schedule of Disbursements	06/2009

Name	Type	Description	Revised
TOBACCO PRODUCTS TAX
OP-300	Form & Inst.	Tobacco Products Tax Return	10/2011
Schedule A-1	Form	Tobacco Products Tax - Resident Distributor	08/2011
Schedule A-2	Form	Tobacco Products Tax - Nonresident Distributor	08/2011
Schedule A-3	Form	Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut	09/2014
Schedule A-4	Form	Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut	09/2014
Schedule A-5	Form	Tobacco Products Tax - Record of cigars purchased, imported, received or acquired in Connecticut	09/2014
Schedule C	Form	Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products exported out of Connecticut	08/2011
Schedule C-1	Form	Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut or sold to the federal government	05/2009
Schedule C-2	Form	Tobacco Product Tax - Cigars	08/2011
Schedule D	Form	Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products sold to the Federal government	08/2011
Schedule E	Form	Roll-Your-Own Tobacco - Purchased, Acquired or Shipped into Connecticut During the Month	11/2008

Connecticut State Department of Revenue Services

2014 Excise Tax Forms