Connecticut State Department of Revenue Services

Walk-in services at all DRS branch office locations remain suspended. Email DRS at drs@po.state.ct.us. Email the Priority One Taxpayer Assistance Program: DRSPriorityOne_CollectionsAssist@po.state.ct.us. Please check our Frequently Asked Questions page.

2010 Excise Tax Forms
All forms and some DRS publications are in Adobe Acrobat format.  Before viewing or printing these documents you will need Adobe Acrobat Reader 7.0 or higher.    For additional assistance or if you are have trouble downloading a form, visit our Adobe Informationpage.
   
Name Type Description Revised
AU-933 Form & Inst. Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut 06/1991
BT-4-BW Form & Inst. Monthly Report of Custom Bonded Warehouses 03/2005
BT-5 Schedule A Form & Inst. Alcoholic Beverages Tax, Receipt of Tax Free Purchases and Tax Free Returns 04/2001
BT-5A Schedule A1 Form & Inst. Alcoholic Beverages Tax in Transit Items 06/2001
BT-6 Schedule B Form & Inst. Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns 07/2000
BT-7 Schedule C Form & Inst. Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut 04/2001
BT-8 Schedule D Form & Inst. Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors 04/2001
BT-18 Form & Inst. Alcoholic Beverages Tax Customs Clearance Certificate 06/2001
BT-20 Form & Inst. Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate 09/2001
BT-21 Form & Inst. Alcoholic Beverages Tax - Exemption Certificate 09/2001
BT-22 Form & Inst. Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers 03/2005
BT-22(1) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcohol in Excess of 100 Proof 09/2001
BT-22(2) Form & Inst. Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages 08/2001
BT-22(3) Form & Inst. Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages 08/2001
BT-22(4) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages Distilled Liquors 10/2001
BT-22(5) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages 10/2001
BT-22(6) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages 09/2001
BT-22(7) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages 10/2001
BT-100 Form & Inst. Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption 03/2005
BT-101 Form & Inst. Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption 03/2005
BT-FW Form & Inst. Schedule C - (Farm Wineries) Alcoholic Beverages Tax Wine Shipped Outside of Connecticut 11/2001
BW-1 Form & Inst. Alcoholic Beverages Tax Merchandise Placed in a Custom Bonded Warehouse 05/2002
BW-2 Form & Inst. Alcoholic Beverages Tax Merchandise Withdrawn From a Custom Bonded Warehouse 05/2002
Form S&BT Form & Inst. Alcoholic  Beverages Tax - Payment of Taxes Due on the Importation of Alcoholic Beverages
05/2005  
O-255 Form & Inst. Wholesale Alcoholic Beverage Tax Return 12/2006
  
 
Name Type Description Revised

CIGARETTE  TAX

AU-75 Form & Inst. Tax Return for Persons in Possession of Unstamped Cigarettes 10/2009
AU-930 Form & Inst. Cigarette Inventory Report 03/2003
CT-15 Form & Inst. Monthly Tax Stamp and Cigarette Report Resident Distributor 10/2009
CT-15A Form & Inst. Monthly Tax Stamp and Cigarette Report Nonresident Distributor 10/2009
CT-19 Sch. A Form & Inst. Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired 10/2005
CT-19A Sch. A-1 Form & Inst. Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed 10/2005
CT-23 Sch. B Form & Inst. Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government 06/2007
CT-24 Sch. D Form & Inst. Unstamped Cigarettes Transferred to Another Distributor Within Connecticut 06/2007
CT-25 Sch. C Form & Inst. Sales and Transfers of Unstamped Cigarettes Outside of Connecticut 06/2007
CT-27 Sch. E Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut 06/2007
CT-28 Sch. F Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Outside of Connecticut

06/2007

CT-29 Schedule G Form & Inst. Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors 07/2007
CT-30 Form & Inst. Cigarette Tax Refund Claim Stamps Affixed to Packages 07/2007
CT-31 Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Resident Distributors 10/2009
CT-31A Form & Inst. Cigarette and Unaffixed Stamp Inventory Report for Nonresident Distributors 10/2009
CT-38 Form & Inst. Record of Cigarette Stamps Purchased Nonresident Distributor 10/2009
CT-39 Form & Inst. Record of Cigarette Stamps Purchased Resident Distributor 10/2009
CT-40 Form & Inst. Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor 01/2002
CT-50 Form & Inst. Certificate of Cigarette Tax Re-Stamping Credit 04/2005
Form TPM-5 Form & Inst. Stamper E-Mail Registration Form 03/2006
O-252 Form & Inst. Order Form For Connecticut Cigarette Tax Stamps 10/2009
OR-318 Form & Inst. Cigarette Vending Machine Location Change 09/2009
Schedule H Form & Inst. Cigarette Packages Stamped During the Month 03/2007
  
Name Type Description Revised

CIGARETTEmanufacturers

Form TPM-1 Form & Inst. 2010 Certification of Compliance and Affidavit by Nonparticipating Manufacturer  03/2011
Form & Inst.
Certification for Listing in the Connecticut Directory as of July 1, 2011
03/2011
Form TPM-3 Form & Inst. 2010 Brand Families Unit Sales Schedule - Sales Made During the Calendar Year 2010 03/2011
Form TPM-4 Form & Inst. Notice of Appointment of Registered Agent and Registered Agent's Statement 03/2006
Name Type Description Revised

Diesel Fuel Tax Returns

OP-216 Form & Inst. Special Fuel Tax Return 06/2009
OP-216 Form & Inst. Special Fuel Tax Return 06/2010
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces DF-1A 05/2009
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements  This form replaces and DF-1B and DF-1B(10A) 06/2009
 
 
 
Name Type Description Revised

motor carrier road tax

REG-3MC Form & Inst. 2010 Application Motor Carrier Road Tax 12/2010
 
Name Type Description Revised

motor vehicle fuels tax

O-MF Form & Inst. Motor Vehicle Fuels Tax Return 12/2010
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces MVF-1A and MF-3A. 05/2009
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements - This form replaces MVF-1B,  MVF-1B(10A) and MF-3B 06/2009
MVF-3 Form & Inst. Terminal Operator's Monthly Gasoline Activity Schedule 11/2010
 
Name Type Description Revised

motor vehicle fuels tax refunds

AU-724 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim Off Highway, Governmental, & School Bus Use 7/2010
AU-725 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim - Farm Use 7/2010
AU-736 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim - Motor Bus, Taxicab and Livery 7/2010
AU-737 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim - Airport Service (Motor Bus) 7/2010
AU-738 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim - Nutrition Program 7/2010
AU-741 Form & Inst. 2010 Motor Vehicle Fuels Tax Refund Claim - Commuter Vans 7/2010
 
Name Type Description Revised

motor vehicle fuels exporter

AU-726 Form & Inst. Motor Vehicle Fuels Exporter Monthly Report - Form AU-726 replaces forms AU-726a and AU-726b 03/2006
 
Name Type Description Revised

motor vehicle fuels tax exemption

AU-302 Form & Inst. Farmer Declaration Motor Vehicle Fuels Tax Exemption 06/2008
AU-477 Form & Inst. Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption 01/2002
AU-750
Form & Inst. Monthly Report of Motor Fuel Carrier - Form AU-750 replaces forms AU-750IM, AU-750 CON and AU-750 EX 10/2010
 
Name Type Description Revised

petroleum products gross earnings tax

OP-161 Form & Inst. Petroleum Products Gross Earnings Tax Return 10/2010
CERT-116 Form & Inst. Exempt Petroleum Products Certificate 7/2008
OP-218 Form & Inst. Petroleum Products Gross Earnings Tax Certificate 10/2010
OP-219 Form & Inst. Petroleum Products Gross Earnings Tax  - Gross Earnings - Out-of-State Declaration With Reference to the Sales of Petroleum Products Sold Exclusively for Sale or Use in Another State 10/2010
AU-550 Form & Inst. Application for Credit for Reduced Rate Petroleum Products 10/2002
 
Name Type Description Revised

tax paid motor vehicle fuels tax

O-MF 1 Form & Inst. Tax Paid - Motor Vehicle Fuel Tax Return - This form replaces OMF-1 (51) 05/2006
MF-R Form & Inst. Motor Vehicle Fuels Tax Schedule of Receipts - This form replaces MVF-1A and MF-3A 05/2009
MF-D Form & Inst. Motor Vehicle Fuels Tax Schedule of Disbursements - This form replaces MVF-1B,  MVF-1B(10A) and MF-3B 06/2009
Name Type Description Revised

TOBACCO PRODUCTS TAX

Form & Inst. Tobacco Products Tax Return 09/2009
Schedule A-1 Form & Inst. Tobacco Products Tax - Resident Distributor 05/2009
Schedule A-2 Form & Inst. Tobacco Products Tax - Nonresident Distributor 05/2009
Schedule A-3 Form & Inst. Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut 05/2009
Schedule A-4 Form & Inst. Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut 05/2009
Schedule B Form & Inst. Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products manufactured in Connecticut 05/2009
Schedule C Form & Inst. Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products exported out of Connecticut 05/2009
Schedule C-1 Form & Inst. Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut or sold to the federal government 05/2009
Schedule D Form & Inst. Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products sold to the Federal government 05/2009
Schedule E Form & Inst. Roll-Your-Own Tobacco - Purchased, Acquired or Shipped into Connecticut During the Month 11/2008