Annual Gallonage Tax Remittance Voucher
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Annual Gallonage Tax Remittance Voucher Form. This is a Kansas form and can be use in Alcohol Beverage Control Statewide.
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Tags: Annual Gallonage Tax Remittance Voucher, ABC-269, Kansas Statewide, Alcohol Beverage Control
KANSAS DEPARTMENT OF REVENUE
ALCOHOLIC BEVERAGE CONTROL DIVISION
915 SW HARRISON
TOPEKA, KANSAS 66625-3512
ALCOHOLIC BEVERAGE CONTROL
ANNUAL GALLONAGE TAX REMITTANCE VOUCHER
Winery Shipping Permit
TODAY’S
DATE:
_______________________________
____________________________
TAX
YEAR:
FEIN:
_______________________________________________________________________________
WINERY SHIPPING PERMIT NAME: _________________________________________________
WINERY SHIPPING PERMIT NUMBER: ___ ___ - ___ ___ ___ - ___ ___ ___ ___ - ___ ___
PERMIT TYPE:
SMALL WINERY SHIPPING PERMIT
LARGE WINERY SHIPPING PERMIT
I have filed my Gallonage Tax Return electronically.
GALLONAGE TAX PAYMENT DISTRIBUTION
PRODUCT TYPE:
DEPOSIT CODE:
TAX AMOUNT DUE:
Fortified Wine
(Small = FSOS)
(Large = FLOS)
$
Light Wine
(Small = LSOS)
(Large = LLOS)
$
TOTAL REMITTANCE = $
ABC-269 ( 7.06)
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