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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  06/2020
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  06/2020
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  06/2020
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-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
06/2020
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
For periods on or after 10/01/2019 only
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 Comsumption NEW - 10/2019

Cigarette Tax

Name  Type  Description  Revision Date 
AU-75 Form & Inst. Tax Return for Persons in Possession of Unstamped Cigarettes 12/2017
AU-930 Form & Inst. Cigarette Inventory Report 03/2003
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
CT-50 Form & Inst. Certificate of Cigarette Tax Re-Stamping Credit 04/2005
Form TPM-5 Form & Inst. Stamper E-Mail Registration Form 03/2006
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 Nonparticipating Manufacturer Surety Bond (For Cigarette & Tobacco Use Only) 08/2018
OR-131 Instructions Instructions Form OR-131 Instructions 02/2018
Form TPM-1 Form & Inst. Certification of Compliance and Affidavit by Nonparticipating Manufacturer 03/2020
Form TPM-2 Instructions Form TPM-2 Instructions 03/2020
Form TPM-2 Form Certification for Listing in the Connecticut Tobacco Directory as of July 1, 2020 03/2020
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 06/2020 

Motor Carrier Road Tax

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

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.  2020 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use  06/2020
AU-725 Form & Inst.  2020 Motor Vehicle Fuels Tax Refund Claim - Farm Use  06/2020
AU-736 Form & Inst.  2020 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery  06/2020
AU-737 Form & Inst.  2020 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus)  06/2020
AU-738 Form & Inst.  2020 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program  06/2020
AU-741 Form & Inst.  2020 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans  06/2020

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