N10 Excise Act - Application for Refund/Drawback

Download instructions for fillable PDFs

Fill out this form if you are licensed brewer and you want to apply for, and are entitled to, a refund of the excise duty you paid.

Ways to get the form

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  Download and fill out with Acrobat Reader

  You must download and open fillable PDFs in Acrobat Reader 10 or higher.

  • Accessible Fillable PDF (n10-fill-21e.pdf)
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  Print and fill out by hand

  • Standard print PDF (n10-21e.pdf)
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  Ask for an alternate format

  You can order alternate formats such as digital audio, electronic text, braille, and large print.

  • Order alternate formats for persons with disabilities