MARYLAND
FORM
533-1
CHARITY WINE AUCTION
PERMIT HOLDER
RETURN
Name Permit Number
Mailing Address
City State Zip Code + 4
E-mail Address
Instructions: This
return
must be filed not later than 30 days from the close of a Charity Wine Auction for which a permit was
issued by the Comptroller of Maryland.
A. Total gallons of wine received from persons or entities on which the Maryland excise tax has not been paid. . . $
B. Maryland tax rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X .40
C. Total tax due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
D. Amount prepaid prior to event . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
E. Additional tax due and remitted herewith . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
or $
F. Amount to be refunded. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
NOTE: In support of line A above, attach a separate schedule indicating source of products and respective quantities received.
Adavit
I solemnly declare and arm under penalties of perjury that the contents of the foregoing document(s) are true and correct to the
best of my knowledge, information and belief.
Note: If you have questions pertaining to proper reporting procedures, please call 410-260-7127.
Mail tax return to:
Comptroller of Maryland
Revenue Administration Division
Returns Processing
Alcohol Tax Oce
P.O. Box 2999
Annapolis, Maryland 21404
410-260-7127 or 1-800-638-2937
Fax: 410-260-7924
www.marylandtaxes.gov
Signature
of permit holder
Title: Owner, Partner or Ocer
Type or print name of permit holder Date
AMENDED RETURN
