Comptroller of Maryland MATT Regulatory Division Alcohol and Tobacco Tax Louis L. Goldstein Treasury Building P. O. Box 2999 Annapolis, Maryland 21404-2999 ATT Use Only Check Number Check Amount $ Deposit Date Non-Resident Winery Tax Return See reverse side for complete instructions. Non-Resident Winery Name and Address: Prepare this return in duplicate. Use typewriter or print in ink. Retain duplicate. For Calendar Month Non-Resident Winery Permit Number: NW- Wine Tax Determination Summary of Wine Deliveries into Maryland A Maryland Retailer/Consignee: B C Total Gallons Shipped D Total Gallons Shipped Maryland Retailer/Consignee: 1 9 2 10 3 11 4 12 5 13 6 14 7 15 8 16 17 Total gallons (Columns B and D, lines 1 through 16) 18 Adjustments 19 Net gallons of wine subject to tax (Line 17 plus or minus line 18) 20 Wine tax per gallon $.40 X 21 Net tax due (Line 19 x Line 20) $ .40 Affidavit I do solemnly declare and affirm under the penalties of perjury that the contents of the foregoing document are true and correct to the best of my knowledge, information and belief. Signature Title: Owner, Partner or Officer Date COM/ATT-018 04/08 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Use of Form COM/ATT-018 This return, together with remittance of tax due, shall be properly filed and physically received by the Alcohol and Tobacco Tax office no later than the 10th day of the month following the month which the return covers. The return shall be submitted with Forms COM/ATT-018-1 and COM/ATT-034-5. Remittance shall be in the form of a check or money order payable to the “Comptroller of Maryland”. Column Line A&C 1-16 From individual forms COM/ATT-018-1, insert the name of the consignee within the State of Maryland. B&D 1-16 Insert the number of gallons delivered to each consignee, as indicated on line 15 column 9, Form COM/ATT-018-1. Samples should also be listed here. 17 Insert on this line the total of column B (lines 1-8) plus column D (lines 9-16). 18 List on this line plus or minus adjustments to your return as may be discussed and agreed upon with a representative of the Alcohol and Tobacco Tax office. 19 Insert the total of line 17, plus or minus line 18. 20 This line shows the Maryland wine tax rate. 21 Multiply line 19 by line 20 and insert the result (net tax due). The completed form COM/ATT-018 must be signed by the owner, partner or officer of the corporation. If this is a corporation, an officer (President, Vice-President, Secretary or Treasurer) must sign. American LegalNet, Inc. www.FormsWorkFlow.com