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Excise Tax Forms


Alcohol Beverage Tax/Alcohol Distributor Tax

Name
Type Description Revised Date
AU-933 Form & Inst. Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut 02/2021
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 06/2020
BT-5A Schedule A1 Form & Inst. Alcoholic Beverages Tax in Transit Items 06/2020
BT-6 Schedule B Form & Inst. Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns 06/2020
BT-7 Schedule C Form & Inst. Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut  06/2020
BT-8 Schedule D Form & Inst. Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors 02/2017
BT-18 Form & Inst. Alcoholic Beverages Tax Customs Clearance Certificate  09/2001
BT-20 Form & Inst. Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate 02/2017
BT-21 Form & Inst. Alcoholic Beverages Tax - Exemption Certificate  06/2020
BT-22 Form & Inst. Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers 09/2001
BT-22(1) Form & Inst. Alcoholic Beverage Tax, Inventory Report of Alcohol in Excess of 100 Proof 08/2001
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 10/2001
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 09/2001
BT-22(6) Form & Inst. Alcoholic Beverage Tax, Inventory Report of Alcoholic Beverages 10/2001
BT-22(7) Form & Inst. Alcoholic Beverage Tax, Inventory Report of Alcoholic Beverages 06/2020
BT-22(8) Form & Inst. Alcoholic Beverage Tax, Inventory Report of Alcoholic Beverages 06/2020
BT-22(9) Form & Inst. Alcoholic Beverage Tax, Inventory Report of Alcoholic Beverages 10/2019
BT-100 Form & Inst. Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption 11/2001
BT-101 Form & Inst.  Application for Permission to Import into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption 05/2002
BT-FW Form & Inst. Schedule C - (Farm Wineries) Alcoholic Beverages Tax Wine Shipped Outside of Connecticut. 05/2002 
BW-1 Form & Inst. Alcoholic Beverages Tax Merchandise Placed in a Custom Bonded Warehouse 10/2019 
BW-2 Form & Inst. Alcoholic Beverages Tax Merchandise Withdrawn from a Custom Bonded Warehouse 10/2019 
Form S & BT Form & Inst. Alcoholic Beverages Tax, Payment of Taxes Due on the Importation of Alcoholic Beverages  10/2019 
O-255 Form & Inst. For periods on or after 10/01/2019 only
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 10/2019 

Cigarette Tax

Name
Type Description Revised Date
 CT-CIG Form & Inst.  Refund Request for Connecticut Cigarette Stamps New 
 AU-351 Electronic Cigarette Tax Products
 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 09/2021
 CT-15A Form & Inst. Monthly Tax Stamp and Cigarette Report Nonresident Distributor 09/2021
 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 06/2007
 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 07/2007
 CT-27 Schedule E Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut 01/2021
 CT-28 Schedule F Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Outside of Connecticut 12/2020
 CT-29 Schedule G Form & Inst. Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors 11/2017
 Schedule H Form & Inst. Cigarette Packages Stamped During the Month 11/2017
 CT-30 Form & Inst. Connecticut Cigarette Tax Refund Claim 11/2017
 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 03/2017
 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
 O-252 Form & Inst. Order Form For Connecticut Cigarette Tax Stamps 06/2019
 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) 08/2018
 OR-131 Instructions Form & Inst. Form OR-131 Instructions 02/2018
 Form TPM-1 Form & Inst. Certification of Compliance and Affidavit by Nonparticipating Manufacturer 06/2021
 Form TPM-2 Form & Inst. Form TPM-2 Instructions 06/2021
 Form TPM-2 Form & Inst. Certification for Listing in the Connecticut Tobacco Directory as of July 1, 2020 06/2021
 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 Date
OP-216 Form & Inst. Special Fuel Tax Return 09/2021

Motor Carrier Road Tax

Name Type Description Revised Date 
 REG-3MC Form & Inst. 2020 Application Motor Carrier Road Tax 12/2019

Motor Vehicle Fuels Tax

Name Type Description Revised Date
O-MF Form & Inst. Motor Vehicle Fuels Tax Return 09/2021
MF-R    Motor Vehicle Fuels Tax Schedule of Receipts 05/2009
MF-D    Motor Vehicle Fuels Tax Schedule of Disbursements  06/2018
MVF-3    Terminal Operator's Monthly Gasoline Activity Schedule 02/2017

Motor Vehicle Fuels Tax Refunds

Name  Type  Description  Revised 
AU-724 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use  06/2021
AU-725 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim - Farm Use  06/2021
AU-736 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery  06/2021
AU-737 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus)  06/2021
AU-738 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program  06/2021
AU-741 Form & Inst.  2021 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans  06/2021

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 09/2021
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 Form & Inst.  Tax Paid - Motor Vehicle Fuel Tax Return  09/2021
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 09/2021
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  01/2021