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Current Excise Tax Forms
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| Name |
Type |
Description |
Revised |
|
|
| AU-933 |
Form & Inst. |
Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut |
03/2017 |
| 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 |
04/2001 |
| BT-5A Schedule A1 |
Form & Inst. |
Alcoholic Beverages Tax in Transit Items |
06/2001 |
| BT-6 Schedule B |
Form & Inst. |
Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns |
07/2000 |
| BT-7 Schedule C |
Form & Inst. |
Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut |
04/2001 |
| BT-8 |
Form & Inst. |
Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors |
04/2001 |
| 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 |
02/2017 |
| 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-100 |
Form & Inst. |
Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption |
03/2017 |
| BT-101 |
Form & Inst. |
Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption |
03/2017 |
| 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 FT-22-S |
Form & Inst. |
Summary of Alcoholic Beverages Floor Tax Inventory Report on Floor Stock of Alcoholic Beverages |
06/2011 |
| Form FT-AFT |
Instructions |
Floor Tax for Alcoholic Beverage Tax
The website version is for reference only |
06/2011 |
| Form S&BT |
Form & Inst. |
Alcoholic Beverages Tax - Payment of Taxes Due on the Importation of Alcoholic Beverages |
02/2017 |
| O-255 |
Form &
Inst. |
Wholesale Alcoholic Beverage Tax Return |
12/2016 |
| Name |
Type |
Description |
Revised |
|
CIGARETTE TAX |
| 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 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. |
Connecticut Cigarette Tax Refund Claim |
06/2018 |
| CT-31 |
Form & Inst. |
Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors |
11/2017 |
| CT-31A |
Form & Inst. |
Cigarette and Unaffixed 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 |
12/2017 |
| OR-318 |
Form & Inst. |
Cigarette Vending Machine Location Change |
09/2009 |
CIGARETTE manufacturers
| OR-131 NPM |
Form & Inst. |
Nonparticipating Manufacturer Surety Bond (For Cigarette & Tobacco Use Only) |
12/2014 |
|
|
Form & Inst. |
Certification of Compliance and Affidavit by Nonparticipating Manufacturer |
03/2018 |
|
|
Form & Inst. |
Form TPM-2 Instructions |
03/2018 |
| Form TPM-2 |
Form & Inst. |
Certification for Listing in the Connecticut Tobacco Directory as of July 1, 2018 |
03/2018 |
| Form TPM-3 |
Form & Inst. |
Brand Families Unit Sales Schedule - Sales Made During the Calendar Year 2017 |
06/2018 |
| Form TPM-4 |
Form & Inst. |
Notice of Appointment of Registered Agent and Registered Agent's Statement |
03/2016 |
| Name |
Type |
Description |
Revised |
|
motor vehicle fuels tax |
|
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 |
| Name |
Type |
Description |
Revised |
|
motor vehicle fuels tax refunds |
|
|
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use |
06/2018 |
| AU-725 |
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim - Farm Use |
06/2018 |
| AU-736 |
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery |
06/2018 |
| AU-737 |
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus) |
06/2018 |
| AU-738 |
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program |
06/2018 |
| AU-741 |
Form & Inst. |
2018 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans |
06/2018 |
| Name |
Type |
Description |
Revised |
|
motor vehicle fuels tax exemption |
| 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 |
|
|
Form & Inst. |
Monthly Report of Motor Fuel Carrier |
02/2017 |
| Name |
Type |
Description |
Revised |
|
petroleum products gross earnings tax |
| OP-161 |
Form & Inst. |
Petroleum Products Gross Earnings Tax Return |
08/2017 |
| 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 $3.264 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 |
|
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 |
|
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 |
| Name |
Type |
Description |
Revised |
|
TOBACCO PRODUCTS TAX |
|
|
Form & Inst. |
Tobacco Products Tax Return |
|
| OP-300 |
Form & Inst. |
Tobacco Products Tax Return - For filing periods on or after 7/1/17 only |
|
| 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 B |
Form |
Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products manufactured in Connecticut |
08/2011 |
| 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 |
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