Form 500 - Alcoholic Beverage Excise Tax Return Page 6
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500
Alcoholic Beverage Excise Tax Return
Business Name
Month and Year
Page ______of
______
Licensed Location
DOR License Number
Schedule F:
Distributor’s (Licensed Bonded Warehouses Only) Schedule of Sales of Reduced
Tax Rate Beer and Malt Beverages
This is a supporting schedule for the Alcoholic Beverage Tax Return. Distributors (Licensed Bonded Warehouses only) must
complete this schedule if they sold beer or malt beverages from a brewery approved by DOR for the reduced rate of tax
provided by AS 43.60.010(c). The amount of qualified reduced tax rate beer and malt beverages sold must agree with the
totals of qualified reduced tax rate beer and malt beverages reported on Schedules B, C, D and E. Use additional sheets
as necessary.
Gallons of Qualified Reduced Tax
Name AND Address of Qualifying DOR approved Reduced Rate Brewers.
Rate Beer & Malt Beverages Sold
0.000
Totals:
500
Retain a copy for your records
0405-500 Rev 12/10 • page 6
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