2019 Excise Tax Forms
Alcohol Beverage Tax/Alcohol Distributor Tax
| Name | Type | Description | Revised |
| AU-933 | Form & Inst. | Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut | 03/2017 |
| 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 | 02/2017 |
| BT-20 | Form & Inst. | Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate | 09/2001 |
| BT-21 | Form & Inst. | Alcoholic Beverages Tax - Exemption Certificate | 02/2017 |
| BT-22 | Form & Inst. | Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers | 02/2017 |
| 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 | 10/2019 |
| BT-101 | Form & Inst. | Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption | 10/2019 |
| 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 | 10/2019 |
| O-255 |
Form & Inst. | Wholesale Alcoholic Beverage Tax Return - For periods on or after 10/01/2019 only | 10/2019 |
| BT-9 Schedule E | Form & Inst. | Alcoholic Beverages Tax Sales of Malt Beverages On-Premises Covered by a Valid CT Manufacturer's Permit | 10/2019 |
| BT-10 Schedule F | Form & Inst. | Alcoholic Beverages Tax Sales of Beer Sold On‑Premises Covered by a Valid CT Manufacturer's Permit for Off-Premises Consumption | NEW - 10/2019 |
Cigarette Tax
| Name | Type | Description | Revision Date |
| AU-351 | |||
| AU-75 | Form & Inst. | Tax Return for Persons in Possession of Unstamped Cigarettes | 12/2017 |
| CT-15 | Form & Inst. | Monthly Tax Stamp and Cigarette Report Resident Distributor | 02/2018 |
| CT-15A | Form & Inst. | Monthly Tax Stamp and Cigarette Report Nonresident Distributor | 02/2018 |
| CT-19 Schedule A | Form & Inst. | Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired | 10/2005 |
| CT-19A Schedule A-1 | Form & Inst. | Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed | 10/2005 |
| CT-23 Schedule B | Form & Inst. | Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government | 06/2007 |
| CT-24 Schedule D | Form & Inst. | Unstamped Cigarettes Transferred to Another Distributor Within Connecticut | 06/2007 |
| CT-25 Schedule C | Form & Inst. | Sales and Transfers of Unstamped Cigarettes Outside of Connecticut | 06/2007 |
| CT-27 Schedule E | Form & Inst. | Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut | 06/2007 |
| CT-28 Schedule 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 |
| Schedule H | Form & Inst. | Cigarette Packages Stamped During the Month | 10/2008 |
| CT-30 | Form & Inst. | Connecticut Cigarette Tax Refund Claim | 06/2018 |
| CT-31 | Form & Inst. | Cigarette and Un-affixed Stamp Inventory Report for Resident Distributors | 11/2017 |
| CT-31A | Form & Inst. | Cigarette and In-affixed Stamp Inventory Report for Nonresident Distributors | 11/2017 |
| CT-38 | Form & Inst. | Record of Cigarette Stamps Purchased Nonresident Distributor | 11/2017 |
| CT-39 | Form & Inst. | Record of Cigarette Stamps Purchased Resident Distributor | 11/2017 |
| CT-40 | Form & Inst. | Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor | 03/2017 |
| OR-318 | Form & Inst. | Cigarette Vending Machine Location Change | 09/2009 |
| OR-131 NPM | Form & Inst. | Nonparticipating Manufacturer Surety Bond (For Cigarette & Tobacco Use Only) | 12/2014 |
| Form TPM-1 | Form & Inst. | Certification of Compliance and Affidavit by Nonparticipating Manufacturer | 04/2019 |
| Form TPM-2 | Instructions | Form TPM-2 Instructions | 04/2019 |
| Form TPM-2 | Form | Certification for Listing in the Connecticut Tobacco Directory as of July 1, 2018 | 04/2019 |
| Form TPM-4 | Form & Inst. | Notice of Appointment of Registered Agent and Registered Agent's Statement | 03/2016 |
Special Fuel Tax Return
| Name | Type | Description | Revised |
| OP-216 | Form & Inst. | Special Fuel Tax Return | 06/2019 |
- Gasohol tax - See Motor Vehicle Fuels Tax
- Gasoline tax - See Tax Paid Motor Vehicle Fuels Tax
Motor Vehicle Fuels Tax
| Name | Type | Description | Revised |
| O-MF Alert! | Form & Inst. | Motor Vehicle Fuels Tax Return | 10/2017 |
| MF-R | Form & Inst. | Motor Vehicle Fuels Tax Schedule of Receipts | 05/2009 |
| MF-D | Form & Inst. | Motor Vehicle Fuels Tax Schedule of Disbursements | 06/2018 |
| MVF-3 | Form & Inst. | Terminal Operator's Monthly Gasoline Activity Schedule | 02/2017 |
Motor Vehicle Fuels Tax Refunds
| Name | Type | Description | Revised |
| AU-724 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use | 06/2019 |
| AU-725 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim - Farm Use | 06/2019 |
| AU-736 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery | 06/2019 |
| AU-737 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus) | 06/2019 |
| AU-738 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program | 06/2019 |
| AU-741 | Form & Inst. | 2019 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans | 06/2019 |
Motor Vehicle Fuels Exporter
| Name | Type | Description | Revised |
| AU-726 | Form & Inst. | Motor Vehicle Fuels Exporter Monthly Report | 02/2017 |
Motor Vehicle Fuels Tax Exemption
| Name | Type | Description | Revised |
| AU-302 | Form & Inst. | Farmer Declaration Motor Vehicle Fuels Tax Exemption | 02/2017 |
| AU-477 | Form & Inst. | Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption | 02/2017 |
| AU-478 | Form & Inst. | Marine Fuel Dock Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption | 06/2018 |
| AU-750 | Form & Inst. | Monthly Report of Motor Fuel Carrier | 02/2017 |
Petroleum Products Gross Earnings Tax
| Name | Type | Description | Revised |
| OP-161 | Form & Inst. | Petroleum Products Gross Earnings Tax Return | 03/2019 |
| 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 & Inst. | 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. | 2017 Exempt Petroleum Products Certificate | 03/2017 |
| 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 |
Tax Paid Motor Vehicle Fuels Tax
| Name | Type | Description | Revised |
| O-MF 1 - Alert! | Form & Inst. | Tax Paid - Motor Vehicle Fuel Tax Return | 10/2017 |
| 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 |
Tobacco Products Tax
| Name | Type | Description | Revised |
| OP-300 | Form & Inst. | Tobacco Products Tax Return | 09/2019 |
| Schedule A | Form | Tax Paid Tobacco Products Tax | 08/2017 |
| Schedule A-1 | Form | Tobacco Products Tax - Resident Distributor | 09/2017 |
| Schedule A-2 | Form | Tobacco Products Tax - Nonresident Distributor | 09/2017 |
| Schedule A-3 | Form | Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received, acquired, or manufactured in Connecticut | 09/2017 |
| Schedule A-4 | Form | Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products imported into Connecticut | 09/2017 |
| Schedule A-5 | Form | Tobacco Products Tax - Record of cigars in excess of $1.00 per cigar purchased, imported, received, acquired, or manufactured in Connecticut | 09/2017 |
| Schedule A-6 | Form | Tobacco Products Tax - Nonresident Distributor - Record of cigars in excess of $1.00 per cigar imported, received, or acquired in Connecticut | 09/2017 |
| Schedule C | Form | Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products and cigars in excess of $1.00 per cigar exported out of Connecticut. | 09/2017 |
| Schedule C-1 | Form | Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut | 09/2017 |
| Schedule C-2 | Form | Tobacco Product Tax - Record of cigars in excess of $1.00 per cigar exported out of Connecticut. | 09/2017 |
| Schedule D | Form | Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products and cigars in excess of $1.00 per cigar sold to the federal government. | 09/2017 |
| Schedule D-1 | Form | Tobacco Products Tax - Record of snuff tobacco products sold to the federal government. | 09/2017 |
| Schedule D-2 | Form | Tobacco Products Tax - Record of cigars in excess of $1.00 per cigar sold to the federal government. | 09/2017 |
| Schedule E | Form | Cigarette Roll-Your-Own Tobacco - Purchased, Acquired, Shipped Into Connecticut, or Manufactured During the Month | 09/2017 |