Kansas Winery Shipping Record
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Kansas Winery Shipping Record Form. This is a Kansas form and can be use in Alcohol Beverage Control Statewide.
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Tags: Kansas Winery Shipping Record, ABC-189, Kansas Statewide, Alcohol Beverage Control
KANSAS WINERY SHIPPING RECORD
Order Date:
Order Number:
Kansas Winery Shipping Permit Number :
Shipping Date:
Winery Shipper:
Retail Liquor Store Shipped To:
Kansas Distributor Shipped To:
Customer Name:
Product Description and
Vintage
Tax
Rate:
$0.75 /
Gallon
$0.30 /
Gallon
Total Gallonage Tax =
Type:
Number of
Gallons:
UPC
Type *
Gallonage Tax Due
Number
of
Gallons
Size
Qty
Unit
Price
Extended
Price
LW
$
$
Order Discount (if applicable) -
$
$
Shipping Charge +
$
$
**Applicable Tax +
$
Order Total =
FW
Order Sub-Total
$
(Out of State Permitees Only)
Comments:
* Product Type:
FW = Fortified Wine (14.1% ABV or more)
LW = Light Wine (14% ABV and less)
**Applicable Tax:
Out-of-State = Any taxes required by the state in which the wine
manufacture license is held.
In-State = Liquor Enforcement Tax (8%)
ABC-189 (7.1.06)
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