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

Name Type Description
 AU-75  Form & Inst.  Tax Return for Persons in Possession of Unstamped Cigarettes
 AU-758  Form & Inst.  Cigarette Distributor's Annual List of Customers
 AU-759  Form & Inst.  Cigarette Distributor's Monthly List of Customers Changes
 CT-19 Sch. A  Form & Inst.  Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired
 CT-19A Sch. A-1  Form & Inst.  Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed
 CT-23 Sch. B  Form & Inst.  Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government
 CT-24 Sch. D  Form & Inst.  Unstamped Cigarettes Transferred to Another Distributor Within Connecticut
 CT-25 Sch. C  Form & Inst.  Sales and Transfers of Unstamped Cigarettes Outside of Connecticut
 CT-27 Sch. E  Form & Inst.  Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut
 CT-28 Sch. F  Form & Inst.  Sales and Transfers of Connecticut-Stamped Cigarettes Outside of Connecticut
 Form CT-29 Schedule G  Form & Inst.  Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors
 CT-40  Form & Inst.  Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor
 CT-50  Form & Inst.  Certificate of Cigarette Tax Re-Stamping Credit
 OP-182  Form & Inst.  Vending Machine Report Cigarette Distributors and Dealers
 Form TPM-1  Form & Inst.  Certificate of Compliance by Nonparticipating Manufacturer
 Schedule E  Form & Inst.  Roll-Your-Own Tobacco Products Purchased, Acquired or Shipped into Connecticut During the Month
 Schedule H  Form & Inst.  Cigarette Packages Stamped During the Month

Name Type
Description
 Diesel Fuel Tax Returns
 OP-216  Form & Inst.  Diesel Fuel, Propane, Natural Gas Tax Return
 DF-1A  Form & Inst.  Receipts Record Schedule Diesel Fuel, Propane, Natural Gas
 DF-1B  Form & Inst.  Distribution Schedule Diesel Fuel, Propane, Natural Gas
 DF-1B(10A)  Form & Inst.  Distribution Schedule Diesel Fuel Tax Export Schedule

Name
Type Description
 O-MF 3  Form & Inst.  Motor Vehicle Fuels Tax Gasohol Tax Return
 MF-3A  Form & Inst.  Gasohol Receipts Schedule
 MF-3B  Form & Inst.  Gasohol Distribution Schedule

  
Name Type Description
Gasoline TAX
O-MF 1 (51) Form & Inst. Gasoline Tax Return
MF-1A Schedule Gasoline Receipts Schedule
MF-1B Schedule Gasoline Distribution Schedule
 

 

Name
Type  Description 
 Motor Vehicle Fuels Exporter
 AU-726a  Form & Inst.  Schedule Motor Vehicle Fuels Tax Exporter Monthly Information Report (Gasoline)
 AU-726b  Form & Inst.  Schedule Motor Vehicle Fuels Tax Exporter Monthly Information (Diesel)
 
 

 
Name Type Description

motor vehicle fuels tax

O-MF 1(52) Motor Vehicle Fuels Tax Return
MVF-1A Form & Inst. Motor Vehicle Fuels Tax Receipts Schedule
MVF-1B Motor Vehicle Fuels Tax Distribution Schedule
MFV-1B(10A)
Form & Inst.
Motor Vehicle Fuels Tax Export Schedule
MVF-3 Terminal Operator's Monthly Gasoline Activity Schedule
 

   
Name Type Description

Motor Fuel Refunds

AU-724a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline Off Highway, Governmental, & School Bus Use
AU-724b Motor Vehicle Fuels Tax Refund Claim Diesel Off Highway, Governmental, & School Bus Use
AU-725a Motor Vehicle Fuels Tax Refund Claim Gasoline - Farm Use Only
AU-725b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Farm Use Only
AU-736a Motor Vehicle Fuels Tax Refund Claim Gasoline - Motor Bus/Taxicab
AU-736b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Motor Bus/Taxicab

AU-737a

Motor Vehicle Fuels Tax Refund Claim Gasoline - Airport Service (Motor Bus)
AU-737b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Airport Service (Motor Bus)
AU-737c Motor Vehicle Fuels Tax Refund Claim Gasoline - Livery Service
AU-737d Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Livery Service
AU-738a Motor Vehicle Fuels Tax Refund Claim Gasoline - Nutrition Program
AU-738b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Nutrition Program
AU-741a Motor Vehicle Fuels Tax Refund Claim Gasoline - Commuter Vans
AU-741b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Commuter Vans
 

   
Name Type Description

motor vehicle fuels tax exemption

AU-302 Form & Inst. Farmer Declaration Motor Vehicle Fuels Tax Exemption
AU-477 Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption

 
Name Type Description

Petroleum Products Gross Earnings Tax

OP-161

Form & Inst. Petroleum Products Gross Earnings Tax Return
Exempt Petroleum Products Certificate
OP-218 Form & Inst. Petroleum Products Gross Earnings Tax Certificate
OP-219 Petroleum Products Gross Earnings Tax - Out-of-State Affidavit with Reference to the Sales of Petroleum Products Sold Exclusively for Sale or Use in Another State

 
 
Name Type Description

SEED OYSTER TAX

OP-281

Seed Oyster Tax Return 

   
Name Type Description

TOBACCO PRODUCTS TAX

OP-300 Form & Inst. Tobacco Products Tax Return
Schedule A-1 Tobacco Products Tax - Resident Distributor
Schedule A-2 Form & Inst. Tobacco Products Tax - Nonresident Distributor
Schedule A-3 Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut
Schedule A-4 Form & Inst. Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut
Schedule B Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products manufactured in Connecticut
Schedule C Form & Inst. Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products exported out of Connecticut
Schedule C-1 Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut or sold to the federal government
Schedule D Form & Inst. Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products sold to the Federal government
Schedule E Roll-Your-Own Tobacco - Purchased, Acquired or Shipped into Connecticut During the Month
AU-686 Form & Inst. Roll-Your-Own Cigarette Tobacco Product Declaration