Wines Shipped To-Within Florida
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Wines Shipped To-Within Florida Form. This is a Florida form and can be use in Department Of Business And Professional Regulation Statewide.
Loading PDF...
Tags: Wines Shipped To-Within Florida, 4000A-125-2, Florida Statewide, Department Of Business And Professional Regulation
DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION
DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO
1940 NORTH MONROE STREET • TALLAHASSEE, FL 32399-1022
DBPR Form AB&T
4000A-125-2
Rev. 12/03
BEVERAGES SHIPPED TO / WITHIN FLORIDA
WINES shipped to / within Florida during the month of
Name
Yr
Address
City
State
Telephone No. (
)
Zip
Contact Person
List each shipment and file on or before the 10th of each month to the address above, ATTN: Bureau of Auditing
LESS
17.259%
NATURAL
THAN
CIDER
OR MORE SPARKLING
NUMBER 17.259% GALLONS GALLONS GALLONS
GALLONS
INVOICE
NAME OF CONSIGNEE
CONSIGNEE'S
CITY LOCATION
DATE
Subtotals this page
GRAND TOTALS FOR MONTH
Alcoholic Content:
17.26% or more by volume = 14% or more by weight
Less than 17.26% by volume = less than 14% by weight
American LegalNet, Inc.
www.FormsWorkFlow.com
