The ALC 119 Tennessee form is a Brand Registration Return used for registering new brands of distilled spirits and wine in Tennessee. This form is essential for compliance with state regulations and ensures that your brand is officially recognized. If you're ready to register your brand, click the button below to fill out the form.
The ALC 119 Tennessee form serves as the Brand Registration Return for new brands of distilled spirits and wine within the state. This essential document is issued by the Tennessee Department of Revenue and is crucial for entities looking to register new alcoholic beverage brands. The form requires the submission of various details, including the effective date, account number, and either the Social Security Number (SSN) or Federal Employer Identification Number (FEIN). It is important to indicate if the return is amended by checking the appropriate box. The form also stipulates the need for payment, which must be made payable to the Tennessee Department of Revenue, and outlines the specific mailing address for submission. Additionally, registrants must provide information regarding the number of new brands of distilled spirits and wine being registered, along with the associated tax calculations. Notably, while there is a registration tax for distilled spirits, the initial registration of wine brands does not incur any tax. The form also emphasizes the necessity of including supporting documentation, such as copies of licenses and permits, to ensure compliance with state regulations. For assistance, registrants can contact the Taxpayer Services Division through provided statewide numbers, ensuring that any questions or concerns can be addressed effectively.
TENNESSEE DEPARTMENT OF REVENUE
Brand Registration Return for New Brands
ALC
Effective Date
Account No.
SSN OR FEIN
119
If this is an AMENDED RETURN,
}
please check the box at right
Name: _________________________________________________________
Make your check payable to the Tennessee Department
of Revenue for the amount shown on Line 3 and mail to:
Andrew Jackson State Office Building
Address:_________________________________________________________
500 Deaderick Street, Nashville TN 37242
Should you need assistance, please contact the Taxpayer
City: ________________________________ State: _____
Services Division by calling our statewide number (800) 342-
Zip: __________
1003 or (615) 253-0600.
ROUND TO NEAREST DOLLAR
WRITE NUMBERS LIKE THIS
1. Number of New Brands of Distilled Spirits (see instructions)
(1a).__________ x (1b) $___________ ...
(1)
If the amount reported on Line 1 is a prorated amount due to registering initially for a portion of the year
only, indicate the number of months for which the tax is being remitted
(1c) _____________ months.
See instructions on the reverse side for guidance on how to prorate the tax due.
2. Number of New Brands of Wine (see instructions)
(2a).__________
(2)
.00
0 0 0 0 0 0 0 0 .00
3. Brand Registration Tax Due on Newly Registered Brands (From Line 1)
(3)
FOR OFFICE USE ONLY
RV-R0012401
I declare this is a true, complete, and accurate return to the best of my knowledge.
SIGN
HERE
President or other Principal Officer, Partner, or Proprietor
Date
Tax Return Preparer and Title
INTERNET (6-13)
For additional information, contact the Taxpayer Services Division in one of our Department of Revenue Offices:
Chattanooga
Jackson
Johnson City
Knoxville
Memphis
Nashville
(423) 634-6266
(731) 423-5747
(423) 854-5321
(865) 594-6100
(901) 213-1400
(615) 253-0600
Suite 350
Suite 340
204 High Point Drive
Suite 300
3150 Appling Road
Andrew Jackson Building
State Office Building
Lowell Thomas Building
7175 Strawberry
500 Deaderick Street
540 McCallie Avenue
225 Martin Luther King Blvd.
Plains Pike
Tennessee residents can also call our statewide toll free number at 1-800-342-1003.
Out-of-state callers must dial (615) 253-0600.
INSTRUCTIONS
The Brand Registration Return and the accompanying Schedule A must be printed legibly or typed, and each field must be completed fully. A spreadsheet containing the information required on Schedule A may be submitted with this return in lieu of the Schedule A.
This return must be accompanied by the following documents: (a) A copy of the non-resident Tennessee license for the registrant (issued by the Tennessee Alcoholic Beverage Commission); (b) A copy of the federal basic permit; (c) A copy of the brand label (if the brand is distributed under more than one label, each respective label must also be furnished); (d) A copy of the federal C.O.L.A. for each brand; and (e) The Original Tennessee wholesaler contract with the exact brand name listed.
If the entity completing the return is not the producer, bottler, or manufacturer, the return must be accompanied by a prime American source letter for imported products or an appointment letter for domestic products. If the federal basic permit has the listed products as an additional trade name authorized by such permit, the Department of Revenue will accept this documentation.
The return must be signed and dated by an officer of the company. Payment equal to the amount reported on Line 3 must be submitted with this application. Mail the application and all copies of Schedule A or the accompanying spreadsheet to: Tennessee Department of Revenue, Andrew Jackson State Office Building, 500 Deaderick Street, Nashville, Tennessee 37242.
NOTE: The annual registration tax for brands of distilled spirits is $250. The initial brand registration tax of $250 on any brand(s) of distilled spirits subsequent to the beginning of the privilege tax year is to be prorated on a monthly basis from the date of registration to the end of that privilege tax year. The registration tax for distilled spirits for the subsequent first full privilege tax year shall be based on the average monthly number of cases sold at wholesale during the initial partial privilege tax year times twelve (12). There is no tax due on the initial registration of any brand(s) of wine.
Line1: Enter the number of new brands of distilled spirits being registered for the first time in the first blank field. In the second blank field, enter $250 if registering for the entire tax year. If registering new brands for a portion of the tax year, divide $250 by 12, then multiply that result by the number of months for which the registration applies in the initial year and enter the prorated amount in the second blank field. Multiply the number of new brands entered by the registration fee (either the $250 or the prorated amount) and enter in Line 1.
Line2: Enter the number of new brands of wine being registered for the first time in the blank field. There is no tax due on registering new brands of wine, so this is the only entry required for Line 2.
Line3: Report the amount of tax due from Line 1.
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