MONTANA WIT Rev 09 10 Wine Distributors/Wineries Monthly Tax Return Return and Instructions Electronic Filing and Payment - Electronic payment and filing is simple, secure and convenient through Taxpayer Access Point where you can file, pay and view your past monthly returns and transactions. To register, or log in to your account, go to https://tap.dor.mt.gov. Line 1 Please enter your Federal Employer Identification Number. Line 2: Please enter your Department of Revenue account ID. Line 3: Please enter your license number assigned by the Department of Revenue. Line 4: Please enter the last day of the month that you are reporting sales for. This return is due on the 15th day of the month following the date you enter here. You must keep all records, inventories, invoices, sales records, and delivery records for inspection by the Department of Revenue. Line 5: Check this box if you are filing an amended return. Line 6: If your mailing address has changed, check the box and provide your new address here. Line 7: If you are no longer in business, enter your final day of business here. Line 8: Distributors and wholesalers: enter taxable wine liters sold to licensed retailers. Wineries: enter taxable wine liters sold to retailers and consumers (this includes samples sold). Line 9: Enter tax on the taxable wine liters sold to retailers and consumers. This is calculated by multiplying line 8 X the tax rate of 0.27. Line 10: Enter the taxable wine liters sold to liquor store agencies. Line 11: Enter tax on the taxable wine liters sold to liquor store agencies. This is calculated by multiplying line 10 X the tax rate of 0.28. Line 12: Enter the total tax due sum of sum of lines 9 and 11. Line 13: For tax periods beginning after December 31, 2006, the late payment penalty continues to accrue at 1.2% a month, but cannot exceed 12% of the tax due. In addition, a late filing penalty of $50 or the amount of tax due, whichever is less, also applies if a return is filed late. Enter amount of penalty on line 13. Line 14: If payment is delinquent you are subject to interest of 12% per year, calculated daily, from the original due date of this report until paid. Enter amount of interest due on line 14. Line 15: Enter total due (sum of lines 12, 13 and 14). Questions? Call toll free (866) 859-2254 (in Helena, 444-6900). Mailing Address - If you choose not to file electronically, make your check payable to Montana Department of Revenue and mail it with your return to: Montana Department of Revenue PO Box 1712 Helena, MT 59624-1712 American LegalNet, Inc. www.FormsWorkFlow.com MONTANA WIT Rev 09 10 Wine Distributors/Wineries Monthly Tax Return Name _________________________________________ 1. FEIN Address _______________________________________ 2. Account ID Address _______________________________________ 3. License No. City __________________________________________ 4. Period ending State ___________ 5. If this is an amended return, check here Zip _________________________ — — — — / — — / 6. If your address has changed, check this box and print your new address here __________________________________________________________________________ 7. If you are no longer in business and want your account cancelled, enter your final date of operations Did you sell wine during this reporting period? / / Yes 8. Taxable wine liters sold to retailers and consumers. No . 9. Tax on wine liters sold to retailers and consumers (line 8 X $0.27). . 10. Taxable wine liters sold to liquor store agencies. . 11. Tax on wine liters sold to liquor store agencies (line 10 X $0.28). . 12. Total tax due. Add lines 9 and 11. . 13. Penalty (1.2% per month, max 12%) . 14. Interest (12% per year, calculated daily) . 15. Total amount due. Add lines 12, 13 and 14. . I declare under penalty of false swearing that the information in this tax return and attachments is true, correct and complete. Signature Title _______________________________________ Date_______________________________________ Phone _____________________________________ *41080101* 4108 American LegalNet, Inc. www.FormsWorkFlow.com