Form R-1-W "Winery Manufacturer's Tax Sales Report for Periods Beginning on and After May 1, 2012" - New Jersey

What Is Form R-1-W?

This is a legal form that was released by the New Jersey Department of the Treasury - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2012;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form R-1-W by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form R-1-W "Winery Manufacturer's Tax Sales Report for Periods Beginning on and After May 1, 2012" - New Jersey

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Page 1 of 2
R-1-W
(Rev. 04-12) CONTROL SHEET
DO NOT WRITE IN THIS SPACE
STATE OF NEW JERSEY
ALCOHOLIC
DEPARTMENT OF THE TREASURY
BEVERAGE TAX
DIVISION OF TAXATION
WINERY MANUFACTURER’S TAX SALES REPORT FOR PERIODS BEGINNING ON AND AFTER MAY 1, 2012
Submit Control Sheet, all necessary schedules and an extra copy of Schedule “E” to the: Division of Taxation, Revenue Processing Center,
PO Box 241, Trenton, New Jersey 08646-0241. Also, copies of the Federal ATF Forms 5120.17 (702), for the two months noted below, must be submitted.
Check one:
Winery is located outside New Jersey
Winery is located inside New Jersey
_________________________________________________________, ________________________________________________________
(PRINT THE LICENSEE NAME HERE)
(FEDERAL IDENTIFICATION NUMBER)
_________________________________________________________, ________________________________________________________
(PRINT TRADE NAME HERE, IF ANY)
(STREET ADDRESS)
_________________________________________________________, ________________________________________________________
(CITY, STATE, ZIP)
(COUNTY)
__________________________________________________________________________________________________________________
(PRINT MAILING ADDRESS IF DIFFERENT FROM ABOVE, SEE INSTRUCTION)
________________________________
)_____________________________
the holder of
License No.(s
under Title 33 of the Revised Statues,
(TYPE OF LICENSE(S) SEE INSTRUCTION)
__________________
__________________,
_________
as amended, reports business transacted during the Bimonthly Period of
and
year
, as follows:
Apple Cider*
Still Wines
Sparkling Wines
(3.2% to 7% Alcohol)
For Full Particulars,
Sales to NJ
Direct Ship to
Sales to NJ
Direct Ship to
See Instructions
Retailers
NJ Consumer
Retailers
NJ Consumer
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
1. Taxable sales, etc. “D-W”
2. Exemption claimed per “E”
3. Sub-total (Item 1 plus 2)
4. Sales and returns per “A”
5. Total (item 3 plus 4)
COMPUTATION OF TAXES DUE AND PAYABLE WITH THIS REPORT
6. Tax due sales
(Repeat Item 3)
7. Exemption taken per “F”
8. Balance (Item 6 minus 7)
9. Tax Credit per “H-3”
10. Net taxable sales
(Item 8 minus 9)
11. Tax rates
$0.875
$0.875
$0.875
$0.875
$0.15
12. Tax due
Title 54 of the Revised Statutes, as amended and supplemented, provides for a penalty
based on the tax of 5% per month up to a maximum of five months for failure to submit a
Tax Due (Total of Item 12) . . . . . . . . . . . . . . . . $__________________
complete return, including schedules, by the required filing date. A separate penalty of 5%
is required for late payments. Interest is computed at 3% over the prime rate on the unpaid
Beverage Tax Credit Memos. Numbers . . . . . . $__________________
balance. At the end of each calendar year, any tax, penalties and interest remaining due will
become part of the balance on which interest is charged. In addition, a $100 penalty may
Transmitted herewith in payment of taxes due . $__________________
be added for each month that the report is late.
Pursuant to the provisions of Title 54 of the Revised Statutes, as amended and supplemented,this report shall cover two calendar months’ business from the first to the last of the
two month period inclusive, and shall be signed by the licensee, or the proper officer if the licensee is a corporation or by the duly authorized agent of the licensee. The report
with schedules and check or money order (no stamps) for the amount of taxes due shall be filed within FIFTEEN DAYS after the expiration of the period reported upon. Beverage
Tax Reports shall be filed covering each bimonthly period or part of a period that a license is in force even though during the period no business is transacted under the license.
*Apple cider containing more than 7% alcohol to be included under Sparkling Wines. Apple Cider containing 3.2% to 7% alcohol to be included under Apple Cider.
Page 1 of 2
R-1-W
(Rev. 04-12) CONTROL SHEET
DO NOT WRITE IN THIS SPACE
STATE OF NEW JERSEY
ALCOHOLIC
DEPARTMENT OF THE TREASURY
BEVERAGE TAX
DIVISION OF TAXATION
WINERY MANUFACTURER’S TAX SALES REPORT FOR PERIODS BEGINNING ON AND AFTER MAY 1, 2012
Submit Control Sheet, all necessary schedules and an extra copy of Schedule “E” to the: Division of Taxation, Revenue Processing Center,
PO Box 241, Trenton, New Jersey 08646-0241. Also, copies of the Federal ATF Forms 5120.17 (702), for the two months noted below, must be submitted.
Check one:
Winery is located outside New Jersey
Winery is located inside New Jersey
_________________________________________________________, ________________________________________________________
(PRINT THE LICENSEE NAME HERE)
(FEDERAL IDENTIFICATION NUMBER)
_________________________________________________________, ________________________________________________________
(PRINT TRADE NAME HERE, IF ANY)
(STREET ADDRESS)
_________________________________________________________, ________________________________________________________
(CITY, STATE, ZIP)
(COUNTY)
__________________________________________________________________________________________________________________
(PRINT MAILING ADDRESS IF DIFFERENT FROM ABOVE, SEE INSTRUCTION)
________________________________
)_____________________________
the holder of
License No.(s
under Title 33 of the Revised Statues,
(TYPE OF LICENSE(S) SEE INSTRUCTION)
__________________
__________________,
_________
as amended, reports business transacted during the Bimonthly Period of
and
year
, as follows:
Apple Cider*
Still Wines
Sparkling Wines
(3.2% to 7% Alcohol)
For Full Particulars,
Sales to NJ
Direct Ship to
Sales to NJ
Direct Ship to
See Instructions
Retailers
NJ Consumer
Retailers
NJ Consumer
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
1. Taxable sales, etc. “D-W”
2. Exemption claimed per “E”
3. Sub-total (Item 1 plus 2)
4. Sales and returns per “A”
5. Total (item 3 plus 4)
COMPUTATION OF TAXES DUE AND PAYABLE WITH THIS REPORT
6. Tax due sales
(Repeat Item 3)
7. Exemption taken per “F”
8. Balance (Item 6 minus 7)
9. Tax Credit per “H-3”
10. Net taxable sales
(Item 8 minus 9)
11. Tax rates
$0.875
$0.875
$0.875
$0.875
$0.15
12. Tax due
Title 54 of the Revised Statutes, as amended and supplemented, provides for a penalty
based on the tax of 5% per month up to a maximum of five months for failure to submit a
Tax Due (Total of Item 12) . . . . . . . . . . . . . . . . $__________________
complete return, including schedules, by the required filing date. A separate penalty of 5%
is required for late payments. Interest is computed at 3% over the prime rate on the unpaid
Beverage Tax Credit Memos. Numbers . . . . . . $__________________
balance. At the end of each calendar year, any tax, penalties and interest remaining due will
become part of the balance on which interest is charged. In addition, a $100 penalty may
Transmitted herewith in payment of taxes due . $__________________
be added for each month that the report is late.
Pursuant to the provisions of Title 54 of the Revised Statutes, as amended and supplemented,this report shall cover two calendar months’ business from the first to the last of the
two month period inclusive, and shall be signed by the licensee, or the proper officer if the licensee is a corporation or by the duly authorized agent of the licensee. The report
with schedules and check or money order (no stamps) for the amount of taxes due shall be filed within FIFTEEN DAYS after the expiration of the period reported upon. Beverage
Tax Reports shall be filed covering each bimonthly period or part of a period that a license is in force even though during the period no business is transacted under the license.
*Apple cider containing more than 7% alcohol to be included under Sparkling Wines. Apple Cider containing 3.2% to 7% alcohol to be included under Apple Cider.
Page 2 of 2
R-1-W
(Rev. 04-12)
REPORT CONTENTS (See Instruction)
SCH. “A” _______________________ SHEETS
SCH. “H” _______________________
SCH. “B” _______________________ SHEETS
SCH. “B-W” _____________________ SHEETS
SCH. “C” _______________________ SHEETS
AFFIDAVITS . . . . . . . . . . . . . . . . . . . . . . . . __________________________________________
SCH. “D-W” _____________________ SHEETS
CERTIFICATES OF NON-BEVERAGE USE . __________________________________________
SCH. “E” _______________________ SHEETS
BEVERAGE TAX CREDIT MEMOS . . . . . . . __________________________________________
SCH. “F” _______________________
OTHER (___________________________) .___________________________________________
I certify under the penalties provided by law, including license suspension or revocation, that this report (including any accompanying schedules and
statement(s)) has been examined by me and is true, correct and complete. I also certify that I am the person authorized to certify this report.
___________________________________________________
(_______)_____________________
____________________
SIGNATURE OF LICENSEE OR AUTHORIZED AGENT
PHONE
DATE
________________________________________ (_______)_________________ ________________________ ____________________
SIGNATURE OF INDIVIDUAL OR FIRM PREPARING RETURN
PHONE
FEDERAL IDENTIFICATION NUMBER
DATE
PENALTIES FOR FAILURE TO FILE REPORT, OR FILING OF FALSE OR FRAUDULENT REPORT.
Any person who shall fail to file any report required to be filed pursuant to the provisions of this title, or shall file or cause to be filed, with the Director, any
false or fraudulent report or statement, or shall aid or abet another in the filing with the Director, any false or fraudulent report or statement, with the intent to
defraud the State or evade the payment of any tax, penalty or interest or any part thereof, which shall be due pursuant to the provisions of this title, shall be
punished in accordance with the State Tax Uniform Procedure Law, R.S. 54:48-1 et seq.
List under separate headings by accounts, non-taxable sales and “returns made” to places in New Jersey during the
SCHEDULE “A”
period of _____________________ and ______________________, (year) ___________ (See Instructions).
Apple Cider*
Still Wines
Sparkling Wines
Name, address and License number
(3.2% to 7% Alcohol)
of Purchaser and Consignee
Total Wine Gallons
Total Wine Gallons
Total Wine Gallons
*Apple Cider containing more than 7% alcohol to be included under Sparkling Wines. Apple Cider containing 3.2% to 7% alcohol to be included under Apple Cider.
Page of 2