DRS: 2016 Excise Tax Forms

 
2016 Current Excise Tax Forms

 
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 Alcoholic Beverages Tax Merchandise Withdrawn From a Custom Bonded Warehouse 05/2002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 12/2016
AU-930 Form & Inst. Cigarette Inventory Report 03/2003
CT-15 Form & Inst. Monthly Tax Stamp and Cigarette Report Resident Distributor 01/2017
CT-15A Form & Inst. Monthly Tax Stamp and Cigarette Report Nonresident Distributor 02/2017
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 07/2017
CT-31 Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors 07/2016
CT-31A Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Nonresident Distributors 07/2016
CT-38 Form & Inst. Record of Cigarette Stamps Purchased Nonresident Distributor 07/2016
CT-39 Form & Inst. Record of Cigarette Stamps Purchased Resident Distributor 07/2016
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 12/2016
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

OR-131 NPM
Form & Inst.
Nonparticipating Manufacturer Surety Bond
12/2014
Form & Inst. Certification of Compliance and Affidavit by Nonparticipating Manufacturer
03/2017
Form & Inst.
Certification for Listing in the Connecticut Directory as of July 1, 2017
03/2017
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 carrier road tax

REG-3MC Form & Inst. 2017 Application Motor Carrier Road Tax 12/2016
 

 
 
Name Type Description Revised

motor vehicle fuels tax

O-MF Form & Inst. Motor Vehicle Fuels Tax Return 09/2017
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 exporter

AU-726 Form & Inst. Motor Vehicle Fuels Exporter Monthly Report 02/2017
 
 
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

O-MF 1 Form & Inst. Tax Paid - Motor Vehicle Fuel Tax Return 09/2017
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

OP-300 - NEW
Form & Inst.
Tobacco Products Tax Return - For filing periods on or after 7/1/17 only
06/2017
Form & Inst.
Tobacco Products Tax Return
09/2011
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 or acquired in Connecticut 09/2014
Schedule A-4 Form Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut 09/2014
Schedule A-5 Form  Tobacco Products Tax - Record of cigars purchased, imported, received or acquired in Connecticut 09/2014
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 or sold to the federal government 05/2009
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