Form Mt-42 - Schedule A - Tax-Free Purchases
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2MT-42
New York State Department of Taxation and Finance
Wines, Liquors, Alcohol, and Distilled or Rectified Spirits
(9/09)
Schedule A — Tax-Free Purchases
Legal name
Liquor tax registration number
Federal EIN or social security number
Period covered by this schedule
Read instructions on back before completing this schedule.
A
Liquors containing 24% alcohol or less
Wines containing 24% alcohol or less
Legal names, federal EINs,
Addresses of suppliers from whom alcoholic
Liquors, alcohol, distilled
and DBAs (if applicable) of suppliers from whom
beverages were received
or rectified spirits, and
B
C
D
E
F
alcoholic beverages were received
wine containing more
More than 2%
2% alcohol
Natural
Artificially
Still
than 24% alcohol
alcohol by volume
or less by
sparkling
carbonated
(includes wine
by volume
volume
sparkling
coolers)
(liters)
(liters)
(liters)
(gallons)
(gallons)
(gallons)
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
– – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – – –
1
Subtotals
.................................................................................
(add columns A through F )
2
Subtotals
........................................................................
(from attached additional sheets)
3
Totals
...........................................
(add lines 1 and 2; enter here and on Form MT-40, line 2)
Purchases in transit
(do not include in totals)
Attach this completed schedule to Form MT-40, Return of Tax on Wines, Liquors, Alcohol, and Distilled or Rectified Spirits.
Attach additional sheets if necessary.
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Parent category: Financial