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2009 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

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Alcoholic Beverages Tax Merchandise Withdrawn From a Custom Bonded Warehouse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

Form & Inst. Tax Return for Persons in Possession of Unstamped Cigarettes
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 Sch. 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
O-252 Form & Inst. Order Form For Connecticut Cigarette Tax Stamps
OR-318 Form & Inst. Cigarette Vending Machine Location Change
Schedule H Form & Inst. Cigarette Packages Stamped During the Month

 
Name Type Description

CIGARETTE manufacturers

Form TPM-1 Form & Inst. Certification of Compliance and Affidavit by Nonparticipating Manufacturer
Form TPM-2 Form Certification for Listing in the Connecticut Directory as of July 1, 2009
TPM-2 Instructions Instructions to Certification for Listing in the Connecticut Directory as of July 1, 2009
Form TPM-3 Form & Inst. Brand Families Unit Sales Schedule - Sales Made During the Calendar Year 2009
Form TPM-4 Form & Inst. Notice of Appointment of Registered Agent and Registered Agent's Statement
 

 
Name Type Description

Diesel Fuel Tax Returns

OP-216 Form & Inst. Special Fuel Tax Return
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces DF-1A
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements  This form replaces and DF-1B and DF-1B(10A)

 
 
 
 
 
Name Type Description

motor carrier road tax

REG-3MC Form & Inst. 2008 Application Motor Carrier Road Tax
 
 
Name Type Description

motor vehicle fuels tax

O-MF Form & Inst. Motor Vehicle Fuels Tax Return
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces MVF-1A and MF-3A.
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements - This form replaces MVF-1B,  MVF-1B(10A) and MF-3B
MVF-3 Form & Inst. Terminal Operator's Monthly Gasoline Activity Schedule
 
 
Name Type Description

motor vehicle fuels tax refunds

Form & Inst.
2009 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use
Form & Inst.
2009 Motor Vehicle Fuels Tax Refund Claim - Farm Use
Form & Inst.
2009 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery
Form & Inst.
2009 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus)
Form & Inst.
2009 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program
Form & Inst. 2009 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans

 
Name Type Description

motor vehicle fuels exporter

AU-726 Form & Inst. Motor Vehicle Fuels Exporter Monthly Report - Form AU-726 replaces forms AU-726a and AU-726b
 
 
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-750 Form & Inst. Monthly Report of Motor Fuel Carrier - Form AU-750 replaces forms AU-750IM, AU-750 CON and AU-750 EX
 

 
 
 
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
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

tax paid motor vehicle fuels tax

O-MF 1 Form & Inst. Tax Paid - Motor Vehicle Fuel Tax Return - This form replaces OMF-1 (51)
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces MVF-1A and MF-3A
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements - This form replaces MVF-1B,  MVF-1B(10A) and MF-3B