Form ALC 83 A-1C Ohio Beer and Malt Beverage Tax Return for Qualified a-1c Permit Holders Under 4303.332 - Ohio

Form ALC83 A-1C is a Ohio Department of Taxation form also known as the "Ohio Beer And Malt Beverage Tax Return For Qualified A-1c Permit Holders Under 4303.332". The latest edition of the form was released in May 1, 2015 and is available for digital filing.

Download a PDF version of the Form ALC83 A-1C down below or find it on Ohio Department of Taxation Forms website.

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ALC 83 A-1C
Reset Form
Rev. 5/15
P.O. Box 530
Columbus, OH 43216-0530
Ohio Beer and Malt Beverage Tax Return
for Qualified A-1C Permit Holders Under 4303.332
Reporting period
20
Return is due on or before the 10th day of
the month following the reporting period.
Account number
FEIN
For Department of Taxation Use Only
Name
Address
City
State
ZIP
Telephone number
Schedule A – Beer and Malt Beverages in Barrels
Barrel Gallons
1. Sold in Ohio and/or consumed on premises in Ohio
Schedule B – Beer and Malt Beverages in Containers Other Than Barrels
24/12 OZ.
12/32 OZ.
24/7 OZ.
24/16 OZ.
Other OZ.
Other OZ.
1. Configurations sold in Ohio and/or consumed on premises in Ohio
2. Gallons (convert line 1 into gallons)
Total production of beer, wherever produced, for the reporting period (in gallons)
I declare under penalties of perjury that this return, including any accompanying schedules and state-
Our records indicate that you are exempt from the Ohio beer and malt beverage excise tax. This
ments, has been examined by me and, to the best of my knowledge and belief, is a true, correct and
return is required for informational purposes. Mail to Ohio Department of Taxation, P.O. Box 530,
complete return and report.
Columbus, OH 43216-0530.
If you have any questions, please call (855) 466-3921.
Authorized signature
Date
ALC 83 A-1C
Reset Form
Rev. 5/15
P.O. Box 530
Columbus, OH 43216-0530
Ohio Beer and Malt Beverage Tax Return
for Qualified A-1C Permit Holders Under 4303.332
Reporting period
20
Return is due on or before the 10th day of
the month following the reporting period.
Account number
FEIN
For Department of Taxation Use Only
Name
Address
City
State
ZIP
Telephone number
Schedule A – Beer and Malt Beverages in Barrels
Barrel Gallons
1. Sold in Ohio and/or consumed on premises in Ohio
Schedule B – Beer and Malt Beverages in Containers Other Than Barrels
24/12 OZ.
12/32 OZ.
24/7 OZ.
24/16 OZ.
Other OZ.
Other OZ.
1. Configurations sold in Ohio and/or consumed on premises in Ohio
2. Gallons (convert line 1 into gallons)
Total production of beer, wherever produced, for the reporting period (in gallons)
I declare under penalties of perjury that this return, including any accompanying schedules and state-
Our records indicate that you are exempt from the Ohio beer and malt beverage excise tax. This
ments, has been examined by me and, to the best of my knowledge and belief, is a true, correct and
return is required for informational purposes. Mail to Ohio Department of Taxation, P.O. Box 530,
complete return and report.
Columbus, OH 43216-0530.
If you have any questions, please call (855) 466-3921.
Authorized signature
Date

Download Form ALC 83 A-1C Ohio Beer and Malt Beverage Tax Return for Qualified a-1c Permit Holders Under 4303.332 - Ohio

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