|
Current 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 |
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 |
06/2017 |
| 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 2014 |
03/2015 |
| Form TPM-4 |
Form & Inst. |
Notice of Appointment of Registered Agent and Registered Agent's Statement |
03/2016 |
| Name |
Type |
Description |
Revised |
|
SPECIAL Fuel Tax Returns |
| OP-216 |
Form & Inst. |
Special Fuel Tax Return |
06/2017 |
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 |
|
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 |
06/2009 |
| MVF-3 |
Form & Inst. |
Terminal Operator's Monthly Gasoline Activity Schedule |
02/2017 |
| Name |
Type |
Description |
Revised |
|
motor vehicle fuels tax refunds |
|
|
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use |
07/2017 |
| AU-725 |
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim - Farm Use |
07/2017 |
| AU-736 |
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery |
07/2017 |
| AU-737 |
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus) |
07/2017 |
| AU-738 |
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program |
07/2017 |
| AU-741 |
Form & Inst. |
2017 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans |
07/2017 |
| 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 |
|
|
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 |
|
