A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. BOX 3506
T
OPEKA KS 66601-3506
STATE OF KANSAS
DEPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
KANSAS MICROBREWERY MONTHLY GALLONAGE TAX RETURN AND SALES REPORT
INSTRUCTIONS
WHO IS REQUIRED TO USE THIS FORM?
All licensed Kansas Microbreweries are required to submit the form for reporting their monthly gallonage tax, even if no products were manufactured,
sold, stored or purchased.
DUE DATE:
The tax return, report and payment are due on or before the 15
th
day of the calendar month following the month in which the microbrewery transferred
beer from brewing vats to holding vats and/or the purchase of malt product (wort, liquid malt, malt syrup or malt extract).
NO DOMESTIC BEER BREWED:
You are required to file this return and report even if no domestic beer is brewed during the report period. If beer was not transferred from brewing vats
to holding vats during the report period, check the box by “No domestic beer was brewed this month”. Enter a “zero” in the “Total Domestic Beer Tax
Due” box. Pursuant to K.S.A. 41-308(a)(1), Kansas Microbreweries are not authorized to manufacture Cereal Malt Beverage.
NO HARD CIDER MANUFACTURED:
You are required to file this return and report even if no hard cider is manufactured during the report period. Check the box by “No hard cider was
manufactured this month”.
NO MALT OR WORT PRODUCTS:
If no malt or wort products were manufactured, used, sold, stored or purchased this month, check the box by “No malt or wort products were
manufactured, used, sold, stored or purchased this month”.
GALLONAGE TAX CREDIT CARRIED FORWARD CHECKBOX:
If you have a tax credit from a previous report period, check the box by “Gallonage tax credit carried forward”. Enter the amount of the tax credit next to
“Amount”.
INSTRUCTIONS TO COMPLETE THE MICROBREWERY GALLONAGE TAX RETURN:
Round gallons manufactured to the nearest whole gallon and report whole gallons only.
1. Enter the month, year, FEIN, microbrewery name, demographic and contact information.
2. Enter the total number of GALLONS of Domestic Beer or Hard Cider that you are reporting for the corresponding product CODE (01-03) in the
GALLONS/POUNDS column.
a. Multiply the number of gallons CODE 01 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column.
b. Multiply the number of gallons CODE 02 and 03 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column.
c. In the TAX AMOUNT column, subtract product type CODE 02 and 03 from product type CODE 01.
d. Enter the difference in the TAX DUE box.
3
. Enter the total number of gallons CODE 04 of Wort of Liquid Malt manufactured, used, sold, stored or purchased in the GALLONS/POUNDS
column.
a. Multiply the number of gallons CODE 04 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column. If you did not
purchase any Wort or Liquid Malt, enter a “zero” in the GALLONS/POUNDS and TAX DUE columns.
b. Multiply the number of gallons CODE 05 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column.
c. In the TAX AMOUNT column, subtract product type CODE 05 from CODE 04 and enter the amount in the TAX DUE box.
4. Enter the number of pounds CODE 04 of Malt Syrup or Malt Extract manufactured, used, sold, stored or purchased in the GALLONS/POUNDS
column.
a. Multiply the number of pounds CODE 04 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column. If you did not
purchase any Malt Syrup or Malt Extract, enter a “zero” in the GALLONS/POUNDS and TAX AMOUNT column.
b. Multiply the number of pounds CODE 05 by the corresponding TAX RATE and enter that amount in the TAX AMOUNT column.
c. In the TAX AMOUNT column, subtract product type CODE 05 from CODE 04 and enter the amount in the TAX DUE box.
5. Add the domestic beer TAX DUE, hard cider TAX DUE and malt and/or wort products TAX DUE amounts together and enter the sum in the TAX
AMOUNT box. If you have a previous credit, enter that amount and subtract from the TAX AMOUNT. Enter the sum in the TOTAL TAX DUE box.
6. Read the sworn statement, sign and enter your title.
EXPLANATION OF CODES:
01 = Total Gallons of Domestic Beer Brewed or Hard Cider Manufactured. Kansas Microbreweries are authorized to brew domestic beer (greater than
3.2% ABW but not more than 15% ABW). Gallonage Tax is due at the time of transfer from brewing vats to the holding vats.
02 = Sales to Out-of-State Wholesalers or Transferred to Out-of-State Contracting Microbreweries. Products sold to out-of-state wholesalers or
transferred to out-of-state contracting microbreweries are tax exempt with an affidavit attached for each sale. Bills of lading are subject to review
by the Director.
03 = Sales to Non-Beverage User Permit or License Holders.
04 = Taxable Ingredients Purchased/Manufactured. Tax is due on wort or liquid malt ($0.20/Gallon) and malt syrup or malt extract ($0.10/Pound)
purchased to manufacture domestic beer.
05 = Taxable malt or wort used in the manufacture or domestic beer.
ABC-1025 (Rev. 07/18)
STATE OF KANSAS
A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. BOX 3506
T
OPEKA KS 66601-3506
D
EPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
I
NSTRUCTIONS TO COMPLETE SALES SC
HEDULES A-D:
Round gallons manufactured to the nearest whole gallon and report whole gallons only.
1. Enter the month, year and your FEIN.
2. SCHEDULE A
SALES:
a. If you have no sales to report this month, check the box by “I have no sales to report this month”.
b. To report sales, enter the total number of gallons sold for each authorized type of sale.
License
d Distributors. Sales to licensed Kansas distributors.
Consumers. Sales to consumers for consumption off of the licensed premise.
Non-Beverage User Permit or License Holders. Requires a Non-Beverage User permit or license to conduct sale.
3. SCHEDULE B SALES TO DISTRIBUTORS:
a. If you have no sales to in-state and/or out-of-state distributors this month, check the box by “I have no sales to Distributors to report this
month.
b. To report in-state and/or out-of-state distributor sales, enter the Distributor Name, Invoice Date, Invoice Number, Purchase Order Number
and Invoice Total amount. DO NOT SEND INVOICES. All records shall be maintained for three years and shall be available for
inspection by the Director or any agent or employee of the Director or Secretary upon request.
4. SCHEDULES C – SAMPLES:
a. If no samples were given this month, check the box by “No samples were given this month”.
b. If samples were given this month, check the box by “Samples were given this month” and enter the number of total gallons used for samples.
5. SCHEDULE D TRANS
FERS TO CONTRACTING MICROBREWERIES:
a. If you have no transfers to contracting microbreweries this month, check the box “I have no transfers to contracting microbreweries to report
this month”.
b. To report transfers, enter the Microbrewery Name, License Number, Transfer Date and Total Number of Gallons.
PAYMENT OF GALLONAGE TAX:
Two options are available to remit your Gallonage Tax payment: check, bank draft or money order payable to the Kansas Department of Revenue or
Electronic Funds Transfer (EFT). If you choose to pay your Gallonage Tax with the EFT option, you must first complete the authorization form for
(EFT-101). If you pay using EFT, please check the box on the form indicating you have paid using EFT and attach your ACH Payment Details page.
CONTACT INFORMATION:
Questions may be directed to the ABC Marketing Unit.
Phone: 785-296-7
015
E-mail: KDOR_ABC.Marketing.Unit@ks.gov
ABC-1025 (Rev. 07/18)
STATE OF KANSAS
A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. BOX 3506
T
OPEKA KS 66601-3506
D
EPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
MICROBREWERY MONTHLY GALLONAGE TAX RETURN AND SALES REPORT
MONTH: YEAR: FEIN: -
MICROBREWERY NAME:
ADDRESS:
CITY: , KS ZIP CODE:
CONTACT PERSON:
E-MAIL ADDRESS:
No domestic beer was brewed this month.
No hard cider was manufactured this month.
No malt or wort products were manufactured, used, sold, stored or purchased this month.
Gallonage tax credit carried forward. Amount:
$
PRODUCT TYPE: CODE:
GALLONS /
POUNDS:
T
AX R
ATE: TAX AMOUNT: TAX DUE:
Domestic Beer
(3.2%-10% ABW)
(DOBE)
01
X
$0.18 / Gallon
+ $
=
$
02
X -
$
03 X - $
Hard Cider
(Light Wine)
(GFHC)
01
X
$0.30 / Gallon
+
$
=
$
02 X - $
03
X -
$
Wort of Liquid Malt
(WALM)
04
X
$0.20 / Gallon
+ $
=
$
05
X -
$
Malt Syrup or Malt Extract
(MASE)
04
X
$0.10 / Pound
+ $
=
$
05
X -
$
Tax Amount
= $
Credit from Previous Report Period
- $
TOTAL TAX DUE
=
$
I have paid my gallonage tax using the EFT option and attached a copy of my ACH Payment Details page.
I declare under penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete return.
SIGNATURE TITLE
State whether individual owner, member of firm or title if officer of corporation.
CODES:
01 = Total Gallons of Domestic Beer Brewed or Hard Cider Manufactured
02 = Sales to Out-of-State Wholesalers or Transfer to Out-of-State Contracting Microbreweries
03 = Sales to Non-Beverage User Permit or License Holders
04 = Taxable Ingredient Purchased/Manufactured
05 = Taxable Ingredient Used to Manufacture Domestic Beer
ABC-1025 (Rev. 07/18)
click to sign
signature
click to edit
STATE OF KANSAS
A
LCOHOLIC BEVERAGE CONTROL
109 SW 9
th
STREET
P.O. BOX 3506
T
OPEKA KS 66601-3506
D
EPARTMENT OF REVENUE
P
HONE: 785-296-7015
F
AX: 785-296-7185
www.ksrevenue.org/abc.html
MICROBREWERY MONTHLY GALLONAGE TAX RETURN AND SALES REPORT
MONTH: YEAR: FEIN: -
SCHEDULE A SALES:
I have no sales to report this month.
Type of Sale
Total Number of Gallons:
Beer Hard Cider
1. Licensed Distributors (Complete Schedule B)
$
$
$
$
$
$
2. Consumers (Off-Premise Consumption)
3. Non-Beverage User Permit or License Holders
SCHEDULE B SALES TO DISTRIBUTORS:
I have no sales to Distributors to report this month.
Distributor Name Invoice Date Invoice Number Purchase Order Number Invoice Total
SCHEDULE C SAMPLES:
Tasti
ng Samples
No samples were given this month.
Samples were given this month. Total Number of Gallons:
SCHEDULE D TRANSFERS TO CONTRACTING MICROBREWERIES:
I have no transfers to contracting microbreweries to report this month.
Microbrewery Name License Number Transfer Date
Total Number of Gallons:
Beer Hard Cider
I declare under penalties of perjury that to the best of my knowledge and belief this is a true, correct and complete return.
SIGNATURE TITLE
State whether individual owner, member of firm or title if officer of corporation.
ABC Office Use Only:
GALLONAGE TAX ENCLOSED Amount $ Associate: Date:
ABC-1025 (Rev. 07/18)
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signature
click to edit