KANSAS DEPARTMENT OF REVENUE ALCOHOLIC BEVERAGE CONTROL DIVISION 915 SW HARRISON TOPEKA, KANSAS 66625-3512 WINERY SHIPPING PERMIT ANNUAL GALLONAGE TAX RETURN INSTRUCTIONS WHO IS REQUIRED TO USE THIS FORM? Out-of-State Small or Large Winery Shipping Permit holders. DUE DATE: The tax return and payment are based on the calendar year and are due on or before the 15th day of January following the end of each calendar year. You are required to file this report even if you have no Kansas sales. Complete the demographic information, check the box “No sales to Kansas Consumers this year”. Enter a zero in the “Total Tax Due” box. INSTRUCTIONS TO COMPLETE THE WINERY SHIPPING PERMIT GALLONAGE TAX RETURN: 1. Enter the year, FEIN, permit type, Winery Shipping permit number, winery name, demographic and contact information. 2. If you have no sales to report this year, check this box, enter a zero in the “Total Tax Due” box and file your report. 3. Enter the total number of GALLONS that you are reporting for the corresponding PRODUCT TYPE (Fortified Wine or Light Wine). 4. Multiply each number of gallons by the corresponding TAX RATE and enter that amount in the appropriate TAX AMOUNT column. EXPLANATION OF CODE: 01 = Wine Shipped to Kansas consumers. • Small Winery Shipping Permitee: Wine is ordered by a Kansas consumer and shipped to the licensed Kansas retail liquor store designated by the consumer. • Large Winery Shipping Permitee: Wine is ordered by a Kansas consumer and shipped to a licensed Kansas Distributor for delivery to the licensed Kansas retail liquor store designated by the consumer. PAYMENT OF GALLONAGE TAX: Two options are available to remit your Gallonage Tax payment: 1) conventional and 2) Electronic Funds Transfer (EFT). If you choose conventional payment, remit payment in the form of a check, bank draft or money order payable to the Kansas Department of Revenue. If you choose to pay your Gallonage Tax with the EFT option, you must first complete the authorization form for EFT (EF-101). FILING AND PAYMENT OF WINERY SHIPPING PERMIT GALLONAGE TAX RETURN: There are four methods to file and pay your Gallonage Tax Return: • File the ABC-268 with conventional payment. • File the ABC-268 with EFT payment. • File electronically with conventional payment. This requires the ABC-269 to be completed and filed. • File electronically with EFT payment. CONTACT INFORMATION: Questions may be directed to the ABC Marketing Unit. Phone: 785-296-7015 E-mail: ABC_Marketing_Unit@kdor.state.ks.us ABC-268 (7.06) American LegalNet, Inc. www.FormsWorkflow.com KANSAS DEPARTMENT OF REVENUE ALCOHOLIC BEVERAGE CONTROL DIVISION 915 SW HARRISON TOPEKA, KANSAS 66625-3512 WINERY SHIPPING PERMIT ANNUAL GALLONAGE TAX RETURN YEAR:___________________ PERMIT TYPE: FEIN: ___ ___ - ___ ___ ___ ___ ___ ___ ___ Small Wine Shipping Permit Large Wine Shipping Permit DIRECT SHIPPING PERMIT NUMBER: ___ ___-___ ___ ___ - ___ ___ ___ ___ - ___ ___ DIRECT SHIPPING PERMIT NAME:________________________________________________ ADDRESS: ___________________________________________________________________ CITY/STATE: ___________________________________________ ZIP CODE: ____________ CONTACT PERSON: ___________________________________________________________ E-MAIL ADDRESS:_____________________________________________________________ I have no sales to Kansas consumers this year. PRODUCT TYPE: CODE: GALLONS: TAX RATE: TAX DUE: Fortified Wine (14.1% ABV or more) 01 X $0.75 / Gallon = $ (Small = FSOS) (Large = FLOS) PRODUCT TYPE: CODE: GALLONS: TAX RATE: TAX DUE: Light Wine (14% ABV or less) 01 X $0.30 / Gallon = $ (Small = LSOS) (Large – LLOS) TOTAL GALLONAGE TAX DUE = $ I have paid my gallonage tax using the EFT option. CODES: 01= Wine Shipped to Kansas Consumers I declare under penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete return. SIGNATURE ____________________________________________ TITLE _____________________________________________ State whether individual owner, member of firm, or title if officer of c ABC-268 (7.06) American LegalNet, Inc. www.FormsWorkflow.com