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2004 Excise Tax Forms
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Name Type Description
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
BW-1 Form & Inst. Alcoholic Beverages Tax Merchandise Placed in a Custom Bonded Warehouse
BW-2 Form & Inst. Alcoholic Beverages Tax Merchandise Withdrawn From a Custom Bonded Warehouse
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

CIGARETTE TAX

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-15 Form & Inst. Monthly Tax Stamp and Cigarette Report Resident Distributor
CT-15A Form & Inst. Monthly Tax Stamp and Cigarette Report Nonresident Distributor
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
CT-29 Schedule G Form & Inst. Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors
CT-30 Form & Inst. Cigarette Tax Refund Claim Stamps Affixed to Packages
CT-31 Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors
CT-31A Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Nonresident Distributors
CT-38 Form & Inst. Record of Cigarette Stamps Purchased Nonresident Distributor
CT-39 Form & Inst. Record of Cigarette Stamps Purchased Resident Distributor
CT-40 Form & Inst. Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor
OP-182 Form & Inst. Vending Machine Report Cigarette Distributors and Dealers
OR-318 Form & Inst. Cigarette Vending Machine Location Change
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
AU-932 Form & Inst. Retail Dealers Inventory Report for Diesel Fuel

 

 

Name Type Description

motor vehicle fuels tax

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

Name Type Description

MOTOR FUEL REFUNDS

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

AU-737

 

 

Form & Inst. Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus)
AU-738 Form & Inst. Motor Vehicle Fuels Tax Refund Claim  - Nutrition Program
AU-741 Form & Inst. Motor Vehicle Fuels Tax Refund Claim  - Commuter Vans

Name Type Description

motor vehicle fuels exporter

 

 

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

 
Name Type Description

motor vehicle fuels tax exemption

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

AU-750IM

 

 

Form & Inst. Import Schedule of Petroleum Products Monthly Report of Motor Fuel Carrier

 
Name Type Description

petroleum products gross earnings tax

OP-161

 

 

Form & Inst. Petroleum Products Gross Earnings Tax Return
Form & Inst. Exempt Petroleum Products Certificate
OP-218 Form & Inst. Petroleum Products Gross Earnings Tax Certificate
OP-219 Form & Inst. 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

 

 

Form & Inst. Seed Oyster Tax Return  Effective  on and after July 1, 2004,  the Seed Oyster Tax is repealed.

Name Type Description

TOBACCO PRODUCTS TAX

OP-300 Form & Inst. Tobacco Products Tax Return
Schedule A-1 Form & Inst. Tobacco Products Tax - Resident Distributor
Schedule A-2 Form & Inst. Tobacco Products Tax - Nonresident Distributor
Schedule A-3 Form & Inst. 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 Form & Inst. 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 Form & Inst. 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 Form & Inst. Roll-Your-Own Tobacco - Purchased, Acquired or Shipped into Connecticut During the Month
AU-686 Form & Inst. Roll-Your-Own Cigarette Tobacco Product Declaration