Schedule 1 Sparkling Wines Shipped Direct To Louisiana Consumers Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Schedule 1 Sparkling Wines Shipped Direct To Louisiana Consumers Form. This is a Louisiana form and can be use in Department Of Revenue Statewide.
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Tags: Schedule 1 Sparkling Wines Shipped Direct To Louisiana Consumers, R-5697, Louisiana Statewide, Department Of Revenue
R-5697 (7/07)
Page _______ of _______
Schedule 1
Sparkling Wines Shipped
Direct to Louisiana
Consumers
List sparkling wines and include still wines having
an alcohol content of more than 24% by volume.
PLEASE PRINT OR TYPE.
Company Name
Date
LA Revenue Account Number
Invoice
Number
Customer Name
Customer
Address
Brand Name
Filling Period (MM/DD/YYYY)
Number
of Bottles
Shipped
Bottle
Size
(volume)
Price per
Bottle
Total Liters
Shipped
Total
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