ALC 50006
Revised 9-2011
Oklahoma Class “B” Wholesale Beverage
Check Here if
Excise Tax Return
Amended Return:
Oklahoma Tax Commission
-Office Use Only-
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
Taxpayer FEIN/SSN
Return Period
Due Date
OTC Strong Beer License
ABLE License Number
________________________________________________________
_______________________________________________
Name
Contact Person
________________________________________________________
_______________________________________________
Address
Contact Telephone Number
________________________________________________________
City
State
Zip
General Instructions
This return and payment of excise tax must be submitted no later than the tenth (10th) of the month covering all transac-
tions in detail for the previous month. Attach invoices, credit memos, and credit documentation for all transactions, includ-
ing non-taxable. For more details, please see instructions.
Barrels
(carry to 2 decimals)
1. Stock on hand beginning of month .............................................................. _____________________________
2. Receipts of stock during the month (attach Schedule 1) .............................+ _____________________________
3. Total stock on hand and received (add lines 1 and 2) . .................................= _____________________________
4. Deductions:
a) Sales to wholesalers/distributors (attach Schedule 2) . .......................... _____________________________
b) Government sales (attach Schedule 3) ................................................. _____________________________
c) Breakage and Leakers (attach Form ALC 50014) ................................. _____________________________
5. Total Deductions (add lines 4a, 4b and 4c)................................................= _____________________________
6. Stock on hand at close of month . ................................................................. _____________________________
7. Net Taxable Sales during month (subtract lines 5 and 6 from line 3) .........= _____________________________
Dollars - Cents
8. Oklahoma Excise Tax on sales (multiply line 7 by $12.50) ..........................X _____________________ . _ _____
9. Interest (for interest, add 0.04% of line 8 each day of late filing) .................+ _____________________ . _ _____
10. Penalty (for penalty, add 10% of line 8 for filing late) . ..................................+ _____________________ . _ _____
11. Total Due (add lines 8, 9 and 10) ................................................................= _____________________ . _ _____
I declare under penalty of perjury, that the information provided here and on any attachments is true and correct to the best of my knowledge.
Official Title
Signature
Date