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.

2001 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 Information page.
 
Name Type Description
AU-933 Form & Inst. Alcoholic Beverages Tax, Alcoholic Beverages Shipped into Connecticut
BT-4-BW Form & Inst. Monthly Report of Custom Bonded Warehouses
BT-5 Schedule A Form & Inst. Alcoholic Beverages Tax, Receipt of Tax Free Purchases and Tax Free Returns
BT-5A Schedule A1 Form & Inst. Alcoholic Beverages Tax in Transit Items
BT-6 Schedule B Form & Inst. Alcoholic Beverages Tax Receipt of Tax Paid Purchases and Tax Paid Returns
BT-7 Schedule C Form & Inst. Alcoholic Beverages Tax Alcoholic Beverages Shipped Outside of Connecticut
BT-8 Schedule D Form & Inst. Alcoholic Beverage Tax, Tax Free Sales in Connecticut and Sales to Other Licensed Distributors

BT-18

 

 

Form & Inst. Alcoholic Beverages Tax Customs Clearance Certificate
BT-20 Form & Inst. Alcoholic Beverages Tax - Sealed Neck Bottle Destruction Certificate
BT-21 Form & Inst. Alcoholic Beverages Tax - Exemption Certificate
BT-22 Form & Inst. Alcoholic Beverages Tax Summary of Inventory of Wholesalers and Manufacturers
BT-22(1) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcohol in Excess of 100 Proof
BT-22(2) Form & Inst. Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages
BT-22(3) Form & Inst. Alcoholic Beverages Tax Inventory Report of Alcoholic Beverages
BT-22(4) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages Distilled Liquors
BT-22(5) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages
BT-22(6) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages
BT-22(7) Form & Inst. Alcoholic Beverage Tax Inventory Report of Alcoholic Beverages
BT-100 Form & Inst. Application for Permission to Import Into Connecticut Alcoholic Beverages From Within the United States for Personal Consumption
BT-101 Form & Inst. Application for Permission to Import Into Connecticut Alcoholic Beverages From Outside the United States for Personal Consumption
BT-FW Form & Inst. Schedule C - (Farm Wineries) Alcoholic Beverages Tax Wine Shipped Outside of Connecticut
Form S&BT Form & Inst. Alcoholic Beverages Tax - Payment of Taxes Due on the Importation of Alcoholic Beverages
O-255 Form & Inst. Wholesale Alcoholic Beverage Tax Return

   
Name Type Description

CIGARETTE TAX

 

 

AU-75 Form & Inst. Tax Return for Persons in Possession of Unstamped Cigarettes
AU-758
Form & Inst.
Cigarette Distributor's Annual List of Customers
AU-759
Form & Inst.
Cigarette Distributor's Monthly List of Customers Changes
CT-19 Sch. A Form & Inst. Record of Unstamped Cigarettes Manufactured, Purchased, or Otherwise Acquired
CT-19A Sch. A-1 Form & Inst. Cigarettes Purchased with Connecticut Decals or Stamps Already Affixed
CT-23 Sch. B Form & Inst. Shipments or Unstamped Cigarettes Made to Agencies of the Federal Government or Connecticut State Government
CT-24 Sch. D Form & Inst. Unstamped Cigarettes Transferred to Another Distributor Within Connecticut
CT-25 Sch. C Form & Inst. Sales and Transfers of Unstamped Cigarettes Outside of Connecticut
CT-27 Sch. E Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Into Connecticut
CT-28 Sch. F Form & Inst. Sales and Transfers of Connecticut-Stamped Cigarettes Outside of Connecticut
Form CT-29 Schedule G Form & Inst. Sales and Transfers of Unstamped Cigarettes to Other Connecticut Distributors
CT-40 Form & Inst. Sales and Transfers of Connecticut Stamped Cigarettes Outside of Connecticut Resident Distributor
CT-50 Form & Inst. Certificate of Cigarette Tax Re-Stamping Credit
OP-182 Form & Inst. Vending Machine Report Cigarette Distributors and Dealers
Form TPM-1
Form & Inst.
Certificate of Compliance by Nonparticipating Manufacturer
Schedule E Form & Inst. Roll-Your-Own Tobacco Products Purchased, Acquired or Shipped into Connecticut During the Month
Schedule H Form & Inst. Cigarette Packages Stamped During the Month

 
 
Name Type Description

Diesel Fuel Tax Returns

 

 

OP-216 Form & Inst. Diesel Fuel, Propane, Natural Gas Tax Return
DF-1A Form & Inst. Receipts Record Schedule Diesel Fuel, Propane, Natural Gas
DF-1B Form & Inst. Distribution Schedule Diesel Fuel, Propane, Natural Gas
DF-1B(10A) Form & Inst. Distribution Schedule Diesel Fuel Tax Export Schedule

 
Name Type Description
  GASOHOL Tax
O-MF 3 Form & Inst. Motor Vehicle Fuels Tax Gasohol Tax Return
MF-3A Schedule Gasohol Receipts Schedule
MF-3B Schedule Gasohol Distribution Schedule

  
Name Type Description
O-MF 1 (51) Form & Inst. Gasoline Tax Return
MF-1A Schedule Gasoline Receipts Schedule
MF-1B Schedule Gasoline Distribution Schedule

 
Name Type Description

motor carrier road tax

 

 

REG-3MC Form & Inst. Application Motor Carrier Road Tax
OMC-11A Form & Inst. Connecticut Motor Carrier Road Tax Return
OMC-11AT Form & Inst. Connecticut Motor Carrier Road Tax Return

  
Name Type Description

MOTOR VEHICLE FUELS EXPORTER

 

 

AU-726a Schedule Motor Vehicle Fuels Tax Exporter Monthly Information Report (Gasoline)
AU-726b Schedule Motor Vehicle Fuels Tax Exporter Monthly Information (Diesel)

Name Type Description

motor vehicle fuels tax

 

 

O-MF 1(52) Form & Inst. Motor Vehicle Fuels Tax Return
MVF-1A Form & Inst. Motor Vehicle Fuels Tax Receipts Schedule
MVF-1B Form & Inst. Motor Vehicle Fuels Tax Distribution Schedule
MFV-1B(10A)
Form & Inst.
Motor Vehicle Fuels Tax Export Schedule
MVF-3 Form & Inst. Terminal Operator's Monthly Gasoline Activity Schedule

 
Name Type Description
AU-724a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline Off Highway, Governmental, & School Bus Use
AU-724b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel Off Highway, Governmental, & School Bus Use
AU-725a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Farm Use Only
AU-725b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Farm Use Only
AU-736a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Motor Bus/Taxicab
AU-736b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Motor Bus/Taxicab

AU-737a

 

 

Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Airport Service (Motor Bus)
AU-737b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Airport Service (Motor Bus)
AU-737c Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Livery Service
AU-737d Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Livery Service
AU-738a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Nutrition Program
AU-738b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Nutrition Program
AU-741a Form & Inst. Motor Vehicle Fuels Tax Refund Claim Gasoline - Commuter Vans
AU-741b Form & Inst. Motor Vehicle Fuels Tax Refund Claim Diesel - Commuter Vans
 

 
Name Type Description

motor vehicle fuels tax exemption

 

 

AU-302 Form & Inst. Farmer Declaration Motor Vehicle Fuels Tax Exemption
AU-477 Form & Inst. Aircraft Owner or Operator Declaration Motor Vehicle Fuels Tax Exemption

Name Type Description

petroleum products gross earnings tax

 

 

OP-161

 

 

Form & Inst. Petroleum Products Gross Earnings Tax Return
Form & Inst. Exempt Petroleum Products Certificate
OP-218 Form & Inst. Petroleum Products Gross Earnings Tax Certificate
OP-219 Form & Inst. Petroleum Products Gross Earnings Tax - Out-of-State Affidavit with Reference to the Sales of Petroleum Products Sold Exclusively for Sale or Use in Another State

 
Name Type Description

SEED OYSTER TAX 

 

 

OP-281

 

 

Form & Inst. Seed Oyster Tax Return 

 
Name Type Description

TOBACCO PRODUCTS TAX

 

 

OP-300 Form & Inst. Tobacco Products Tax Return
Schedule A-1 Form & Inst. Tobacco Products Tax - Resident Distributor
Schedule A-2 Form & Inst. Tobacco Products Tax - Nonresident Distributor
Schedule A-3 Form & Inst. Tobacco Products Tax - Resident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut
Schedule A-4 Form & Inst. Tobacco Products Tax - Nonresident Distributor, Record of snuff tobacco products purchased, imported, received or acquired in Connecticut
Schedule B Form & Inst. Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products manufactured in Connecticut
Schedule C Form & Inst. Tobacco Products Tax - Record of tobacco products excluding snuff tobacco products exported out of Connecticut
Schedule C-1 Form & Inst. Tobacco Products Tax - Record of snuff tobacco products exported out of Connecticut or sold to the federal government
Schedule D Form & Inst. Tobacco Products Tax - Record of Tobacco products excluding snuff tobacco products sold to the Federal government
Schedule E Form & Inst. Roll-Your-Own Tobacco - Purchased, Acquired or Shipped into Connecticut During the Month
AU-686 Form & Inst. Roll-Your-Own Cigarette Tobacco Product Declaration