Fillable Form 066: REVENUE REPORT ANNUAL LICENSE AND MARYLAND (Comptroller of Maryland)

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Form 066: REVENUE REPORT ANNUAL LICENSE AND MARYLAND (Comptroller of Maryland)

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COM/RAD 066 08/19
ANNUAL LICENSE AND
REVENUE REPORT
MARYLAND
FORM
066
Signature Title:Owner,PartnerorOcer
Date
This report must be led with the Alcohol and Tobacco Tax oce by August 15th annually.
Annual License Information
Type Number of Each by Class
Total Number by Type
A B C D Caterers/BD7
Beer __________ __________ __________ ___________ ___________ ________________
Beer & Wine __________ __________ __________ ___________ ___________ ________________
Light Wine & Winery __________ __________ __________ ___________ ___________ ________________
Beer, Wine & Liquor __________ __________ __________ ___________ ___________ ________________
GrandTotalNumberofLicensesandRenewalsIssued ________________
Total GrossRevenuefromAlcoholicBeveragesLicensesforReport*$ ________________
PLEASE NOTE
*ThetotalGrossrevenueshouldrepresentthetotalannuallicensesissuedforthereportingperiod.Ifnot,pleaseexplain.
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
EXCLUDE licenses listed below on this report
Additionallicensesaddedtoexistinglicenses,temporaryone-daylicense,specialclassCone-dayormultilicenses,draftlicenses,
beerandwinetastings,festivallicenses,Sundaysaleslicenses,pouring(P)licensesandFD.
INCLUDE licenses listed below on this report
A (osale): PackageGoodStores(A2)
B(onorosale): Hotels,Restaurants,Motels(H,H/M,AL,RL,SAC,BLX,LuxRest,Bed&Breakfast,Stadium,SpecialTheater)
C(onorosale): Clubs,CountryClubs,PerformingArts,VeteransOrganizations(GC)
D(onorosale): Taverns
Caterers
BD7(BaltimoreCityonly)
REPORTING PERIOD
FiscalYear LicenseYear
From: _______________ To: _______________
Month/year Month/year
___________________________________________
CityorCounty
___________________________________________
LocalBoardorClerkoftheCircuitCourt
COM/RAD 066 08/19
ANNUAL LICENSE AND
REVENUE REPORT
MARYLAND
FORM
066
Sendremittanceto:
ComptrollerofMaryland
RevenueAdministrationDivision
AlcoholTax
POBOX2999
Annapolis,MD21404-2999
Telephone:410-260-7980or800-638-2937
www.marylandtaxes.gov
DISPENSARY REVENUE ONLY
Total ALL Retail and ALL Wholesale Sales
GrossProt $ _______________
LessExpenses $ _______________
NetProt $ _______________
NumberofCountyRetailStores  _______________
PrintFullName SignFullName
Date TelephoneNumber
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Form 066: REVENUE REPORT ANNUAL LICENSE AND MARYLAND (Comptroller of Maryland)

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Completed 14 August 2020

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