MARYLAND FORM 532-1 FAMILY BEER AND WINE FACILITY DETAIL REPORT Indicate: Beer Wine Individuals Samples Testing COMPANY NAME: __________________________________________________________________________ PERMIT NUMBER: FP- ______________________________________________________________________ For the report year ending September 30, 20 _____ 1 INDIVIDUAL'S NAME 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 2 INDIVIDUAL'S ADDRESS 3 INDIVIDUAL'S BIRTHDATE 4 DATE PRODUCED 5 QUANTITY IN GALLONS Sub-Total (If more than one page.) Total COM/RAD 532-1 01/17 American LegalNet, Inc. www.FormsWorkFlow.com MARYLAND FORM 532-1 FAMILY BEER AND WINE FACILITY DETAIL REPORT INSTRUCTIONS This report, together with form COM/ATT-532, shall be filed and physically received by the Comptroller of Maryland, Alcohol and Tobacco Tax Division no later than October 15th following the report year which it covers. Insert in the spaces provided the month, year, company name and your Family Beer and Wine Facility Permit number. Indicate whether report covers beer or wine by checking the appropriate box (check under beer or wine, one of the following: individuals, samples or testing). File a separate form for each type produced. Column 1 2 3 4 5 5 5 Line 1-18 1-18 1-18 1-18 1-18 19 20 Instructions List each individual's full name. If samples or for testing, indicate entity name. List each individual's complete home address. List each individual's birth date (MM/DD/YR). Indicate the date alcohol was produced. Indicate the total alcohol produced in gallons. If more than one page of form COM/RAD-532-1 is used, insert on this line the subtotal of gallons produced. Insert on this line the total gallons produced for each type. Contact information: Comptroller of Maryland Revenue Administration Division Alcohol Tax PO BOX 2999 Annapolis, MD 21404-2999 Telephone: 410-260-7127 or 800-638-2937 Fax: 410-260-7924 American LegalNet, Inc. www.FormsWorkFlow.com COM/RAD 532-1 01/17