HomeMy WebLinkAboutForm - Initial Report of Gross Liquor Sales (July 1, 2025 to December 31, 2025) - FillableDEPARTMENT OF LIQUOR CONTROL COUNTY OF HAWAI‘I
SUBJECT TO AUDIT FY25-26
Hilo Lagoon Centre, 101 Aupuni Street, Unit 230, Hilo, Hawai‘i, 96720 *Phone: (808) 961-8218 * Fax: (808) 961-8684
E-mail: cohdlc@hawaiicounty.gov
INITIAL REPORT OF GROSS LIQUOR SALES
DEADLINE: Monday, February 2, 2026
1. Pursuant to Rule 3-6, all Licensees (except Wholesalers) shall submit a report of gross revenues which shall
cover two half year periods reflecting all liquor sales.
2.“Gross liquor sales” means the total receipts actually received from sales of liquor for which the license has
been issued including the applicable sales tax. Do not deduct any cost of property sold or expenses of any
kind.
3.Liquor purchased should reflect all liquor purchased and received from Wholesalers during reported period.
4.This report must be signed by the Licensee or by an authorized agent in the case of a corporation filing, if filing
by mail. If filing electronically, please type name in signature block.
5.Please return the completed form either by e-mail, fax or mail before the given deadline. If filing
electronically, no hard copy is needed.
LIQUOR SALES:
INITIAL GROSS LIQUOR SALES FROM 7/1/25 to 12/31/25……..………………... $
INVENTORY:
1.Estimated wholesale dollar value of liquor stock on hand on 7/1/25………$
2.Wholesale dollar value of liquor purchased from 7/1/25 to 12/31/25…....... + $
Line 1 plus Line 2 =
3.Estimated wholesale dollar value of liquor stock on hand on 12/31/25.… - $
4.Wholesale dollar value of liquor sold from 7/1/25 to 12/31/25…………… = $
(Line 1 plus Line 2 minus Line 3 = Line 4)
I declare, under the penalties set forth in Chapter 281, Hawai‘i Revised Statutes, as amended, that this report has
been examined by me and is a true, correct, and complete report, pursuant to Chapter 281 and the Rules and
Regulations of the Liquor Commission County of Hawai‘i.
Date:
SIGNATURE OF LICENSEE OR AUTHORIZED AGENT
PRINTED NAME AND TITLE
PHONE NO E-MAIL ADDRESS
ENTITY NAME:
DBA NAME:
LICENSE NO: