Form Abc-206 - Individual'S Gallonage Tax Return For Alcoholic Liquor Transported From Within The United States Into Kansas Page 3

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Kansas Department of Revenue
Alcoholic Beverage Control Division
915 S.W. Harrison Street, Room 214
Topeka, KS 66625-3512
Phone: 785-296-7015 Fax: 785-296-7185
INDIVIDUAL’S GALLONAGE TAX RETURN FOR ALCOHOLIC LIQUOR
TRANSPORTED FROM WITHIN THE UNITED STATES INTO KANSAS
PART B - ITEMIZED LIST OF ALCOHOLIC LIQUOR
NAME: ____________________________________________________________SSN: _____________________
ADDRESS: __________________________________________________________________________________
City
State
PHONE: ___________________________________________ FAX: ____________________________________
Product
Number of
No.
Product Name
Size
Quantity
Type *
Gallons
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
* PRODUCT TYPE:
AS = Alcohol and Spirits
SB = Beer (3.3% ABW or more)
FS = Flavored Malt Beverage – Strong (4.1%ABV and more)
FW = Fortified Wine (14.1% ABV or more)
LW = Light Wine (14% ABV or less)
ABC-206 (Rev. 7.1.11)

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