Colorado Limited Winery Annual Production Certification Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Colorado Limited Winery Annual Production Certification Form. This is a Colorado form and can be use in Dept Of Revenue Statewide.
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COLORADO LIMITED WINERY
ANNUAL PRODUCTION CERTIFICATION
Pursuant to 12-47-403(1) C.R.S., _________________________________________________,
(Licensee Name)
d/b/a _____________________________________________ Colorado Limited Winery License
Number_______________________, hereby certifies that not more than one hundred thousand
gallons, or the metric equivalent thereof, of vinous liquor was produced within Colorado during the
calendar year ending December 31, 20______.
I declare under the penalty of perjury in the second degree that this certification is true, correct,
and complete to the best of my knowledge. I further acknowledge that this license may be subject
to revocation for submission of a false certification.
Signature
Title
Date
This certification must be returned, no later than February 28, to:
Colorado Department of Revenue
Liquor Enforcement Division
1881 Pierce Street, Room 108A
Lakewood, CO 80214
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