Connecticut State Department of Revenue Services

Upcoming CT DRS webinar: Select to register for the upcoming Withholding Forms W-2 and 1099 Annual Filing Webinar on Wednesday, January 15, 2025, at 10:00 a.m.

2013 Excise Tax Forms
All forms and some DRS publications are in Adobe Acrobat format.  Before viewing or printing these documents you will need Adobe Acrobat Reader 7.0 or higher.  For additional assistance or if you are have trouble downloading a form, visit our Adobe Information page.
Name  Description Revised
Alcohol Beverage Tax/Alcohol Distributor Tax
AU-933 Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut  06/1991
 BT-4-BW  Monthly Report of Custom Bonded Warehouses  03/2005
 BT-5 Schedule A  Alcoholic Beverages Tax, Receipt of Tax Free Purchases and Tax Free Returns  04/2001
 BT-5A Schedule A1  Alcoholic Beverages Tax in Transit Items  06/2001
 BT-6 Schedule B  Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns  07/2000
 BT-7 Schedule C  Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut  04/2001
 BT-8 Schedule D  Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors  04/2001
 BT-18  Alcoholic Beverages Tax Customs Clearance Certificate  06/2001
 BT-20  Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate  09/2001
 BT-21  Alcoholic Beverages Tax - Exemption Certificate  09/2001
 BT-22  Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers  03/2005
 BT-22(1)  Alcoholic Beverage Tax Inventory Report of Alcohol in Excess of 100 Proof  09/2001

Form & Inst.

Form & Inst.

Form & Inst.

Form & Inst.

Form & Inst.

Form & Inst.

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-100

Form & Inst.

Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption

03/2005

BT-101

Form & Inst.

Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption

03/2005

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

07/2011

O-255

Form & Inst.

Wholesale Alcoholic Beverage Tax Return

07/2011
 
 
Name Type Description Revised

CIGARETTE TAX
AU-75 Form & Inst. Tax Return for Persons in Possession of Unstamped Cigarettes 07/2011
CT-15 Form & Inst. Monthly Tax Stamp and Cigarette Report Resident Distributor 07/2011
CT-15A Form & Inst. Monthly Tax Stamp and Cigarette Report Nonresident Distributor 07/2011
CT-19 Sch. A Form & Inst. Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired 10/2005
CT-19A Sch. A-1 Form & Inst. Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed 10/2005
CT-23 Sch. B Form & Inst. Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government 06/2007
CT-24 Sch. D Form & Inst. Unstamped Cigarettes Transferred to Another Distributor Within Connecticut 06/2007
CT-25 Sch. C Form & Inst. Sales and Transfers of Unstamped Cigarettes Outside of Connecticut 06/2007
CT-27 Sch. E Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut 06/2007
CT-28 Sch. 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
CT-30 Form & Inst. Cigarette Tax Refund Claim Stamps Affixed to Packages 07/2007
CT-31 Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors 07/2011
CT-31A Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Nonresident Distributors 07/2011
CT-38 Form & Inst. Record of Cigarette Stamps Purchased Nonresident Distributor 07/2011
CT-39 Form & Inst. Record of Cigarette Stamps Purchased Resident Distributor 07/2011
CT-40 Form & Inst. Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor 01/2002
O-252 Form & Inst. Order Form For Connecticut Cigarette Tax Stamps 07/2011
OR-318 Form & Inst. Cigarette Vending Machine Location Change 09/2009
Schedule H Form & Inst. Cigarette Packages Stamped During the Month 03/2007
  
Name Type Description Revised

CIGARETTE Manufacturers
Form TPM-1 Form & Inst. 2013 Certification of Compliance and Affidavit by Nonparticipating Manufacturer 03/2014
Form & Inst.
 Certification for Listing in the Connecticut Directory as of July 1, 2014
03/2014
Form TPM-3 Form & Inst. 2013 Brand Families Unit Sales Schedule - Sales Made During the Calendar Year 2013 03/2014
Form TPM-4 Form & Inst. Notice of Appointment of Registered Agent and Registered Agent's Statement 03/2006
 
Name Type Description Revised

SPECIAL Fuel Tax Returns
OP-216 Form & Inst. Special Fuel Tax Return 07/2012
OP-216 Form & Inst. Special Fuel Tax Return 07/2013
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
 
 

Gasoline Tax-SEE TAX PAID MOTOR VEHICLE FUELS TAX
 
Name Type Description Revised

Motor Vehicle Fuels Tax
O-MF Form & Inst. Motor Vehicle Fuels Tax Return 06/2014
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
MVF-3 Form & Inst. Terminal Operator's Monthly Gasoline Activity Schedule 11/2010
 
 
Name Type Description Revised

Motor Vehicle Fuels Tax Refunds
AU-724 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use 7/2013
AU-725 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim - Farm Use 7/2013
AU-736 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim- Motor Bus, Taxicab and Livery 7/2013
AU-737 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim- Airport Service (Motor Bus) 7/2013
AU-738 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program 7/2013
AU-741 Form & Inst. 2013 Motor Vehicle Fuels Tax Refund Claim- Commuter Vans 7/2013
 
 
Name Type Description Revised

Motor Vehicle Fuels Exporter
AU-726 Form & Inst. Motor Vehicle Fuels Exporter Monthly Report 03/2006
 

Name

Type

Description

Revised

Motor Vehicle Fuels Tax Exemption

AU-302

Form & Inst.

Farmer Declaration Motor Vehicle Fuels Tax Exemption

06/2008

AU-477

Form & Inst.

Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption

01/2002
 
 

Name

Type

Description

Revised

Petroleum Products Gross earnings tax

OP-161

Form & Inst.

Petroleum Products Gross Earnings Tax Return

08/2013

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 & Instruction

2013 Schedule to use when the sales price is in excess of$3.264per 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.

2013 Exempt Petroleum Products Certificate

07/2013

CERT-116

Form & Inst.

2008 Exempt Petroleum Products Certificate

7/2008

OP-218

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

 

Name Type Description Revised

Tax Paid Motor Vehicle Fuels Tax
O-MF 1 Form & Inst. Tax Paid - Motor Vehicle Fuel Tax Return 05/2006
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
   
Name Type Description Revised

TOBACCO PRODUCTS TAX
OP-300 Form & Inst. Tobacco Products Tax Return 10/2011
Schedule A-1 Form Tobacco Products Tax - Resident Distributor 08/2011
Schedule A-2 Form Tobacco Products Tax - Nonresident Distributor 08/2011
Schedule A-3 Form Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut 05/2009
Schedule A-4 Form Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut 05/2009
Schedule A-5 Form Tobacco Products Tax - Record of cigars purchased, imported, received or acquired in Connecticut 10/2011
Schedule C Form Tobacco Products Tax- Record of tobacco products excluding snuff tobacco products exported out of Connecticut 08/2011
Schedule C-1 Form Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut or sold to the federal government 05/2009
Schedule C-2 Form Tobacco Product Tax - Cigars 08/2011
Schedule D Form Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products sold to the Federal government 08/2011
Schedule E Form Roll-Your-Own Tobacco- Purchased, Acquired or Shipped into Connecticut During the Month 11/2008