Fillable Form 01: WHO IS REQUIRED TO FILE THIS (Kansas Department of Revenue)

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Form 01: WHO IS REQUIRED TO FILE THIS (Kansas Department of Revenue)

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DEPARTMENT OF REVENUE
AUDIT SERVICES
PHONE: 785-296-7719
P.O. BOX 3506
FAX: 785-296-0531
TOPEKA KS 66601-3506
KDOR_LiquorReport.Audit@ks.gov
MONTHLY REPORT OF ON-PREMISE SALES*
INSTRUCTIONS
WHO IS REQUIRED TO FILE THIS REPORT?
Retail Liquor Stores, Distributors and FarmWineries who sell alcoholic liquor to licensees for consumption on the licensed
premise are required to file a monthly sales report by the due date.
Retail Liquor Stores who possess a Basic Permit report their sales to Clubs, Caterers, Drinking Establishments,
Public Venue and Temporary Permit holders. K.A.R. 14-13-10
Distributors that do not file electronically must report their sales to Retail Liquor Stores, Clubs, Caterers,
Dr
inking Establishments, Public Venue and Temporary Permit holders. K.S.A. 14-6
01
Farm Wineries that self-distribute must report their sales to Clubs, Caterers, Drinking Establishments, Public
V
enue, Producers and Temporary Permit holders. K.S.A. 41-60
1
DUE DATE
This monthly report is due on or before the 15
th
day of the calendar month following the month in which the alcoholic
liquor was sold. You are required to file this report even if you have no sales to report.
INSTRUCTIONS TO COMPLETE THE MONTHLY REPORT OF ON-PREMISE SALES:
1.
Complete the month, year, FEIN, license number and your Basic Permit number.
2.
Complete licensee name, demographic and contact information.
3.
If you have no sales to report, check the box by “I have no sales to report this month” and file your report.
4.
To report sales to licensees, complete information for each license type as follows:
A.
Licensee Name. Enter the name of each licensee you have sold to.
B.
License Number. Enter the license number for each licensee you have sold alcoholic liquor to.
C.
Date of Sale. Enter the date you sold the alcoholic liquor to each licensee.
D.
Total Amount of Sale. Enter the total dollar amount of the sale for each licensee.
5.
Sign, date and enter your title on the form.
6.
Make a copy of the report and retain for your records.
NO SALES
You are required to file this report even if you have no sales to report. Complete the month, year, FEIN, license number,
Basic Permit number and Licensee name and demographic information. Check the box next to “I have no sales to report
this month.”
FILING OF THE MONTHLY REPORT OF ON-PREMISE SALES
After completing all required information, file the original copy of the Monthly Report of On-Premise Sales with the Kansas
Department of Revenue. It is preferred that you file your report by email to KDOR_LiquorReport.Audit@ks.gov or you
may mail your report at the address provided at the top of the form.
CONTACT INFORMATION
Questions may be directed to the Audit Services Bureau by email to KDOR_LiquorReport.Audit@ks.gov
*On-premise sales include sales to Class A Clubs, Class B Clubs, Drinking Establishments (including railway cars), Hotel/Drinking Establishments,
C
aterers, Drinking Establishments/Caterer, Public Venue and Temporary Permit holders
.
ABC-73 (Rev. 05/19)
DEPARTMENT OF REVENUE
AUDIT SERVICES
PHONE: 785-296-7719
P.O. BOX 3506
FAX: 785-296-0531
TOPEKA KS 66601-3506
KDOR_LiquorReport.Audit@ks.gov
MONTHLY REPORT OF ON-PREMISE SALES*
Report Period
Month:
Year:
Licensee Name
Kansas Liquor License No.
Business Mailing Address
Basic Wholesaler Permit No.
City
State
Zip Code
Person Completing Report
Telephone Number
□
I have no sales to report this month.
ADDRESS AND CITY
LICENSE NUMBER
DATE OF
SALE
TOTAL SALE
PRICE
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL SALES
$
I declare under penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete form.
SIGNATURE TITLE DATE
*On-premise sales include sales to Class A Clubs, Class B Clubs, Drinking Establishments (including railway cars), Hotel/Drinking Establishments
,
Caterers, Drinking Establishment/Caterer, Public Venue and Temporary Permit holders.
ABC-73 (Rev. 05/19)
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Form 01: WHO IS REQUIRED TO FILE THIS (Kansas Department of Revenue)

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Completed 24 August 2020

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