Alcoholic Liquors Received Untaxed
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Alcoholic Liquors Received Untaxed Form. This is a Missouri form and can be use in Alcohol And Tobacco Control Statewide.
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Tags: Alcoholic Liquors Received Untaxed, Missouri Statewide, Alcohol And Tobacco Control
STATE OF MISSOURI
DEPARTMENT OF PUBLIC SAFETY
DIVISION OF ALCOHOL AND TOBACCO CONTROL
JEFFERSON CITY, MISSOURI
SCHEDULE A
ALCOHOLIC LIQUORS RECEIVED UNTAXED
NAME
ADDRESS
LICENSE NO.
MONTH OF
YEAR
REPORT IN (WINE) GALLONS
INVOICE NUMBER
AND DATE
PURCHASED FROM NAME AND ADDRESS
SPIRITUOUS
LIQUOR
REMARKS
WINES
TOTALS
STATE WHETHER IN BOND, DIRECT
IMPORT, BULK, OR OTHER REASON
FOR BEING UNSTAMPED.
ENTER AS ITEM 2 FORM 10
THE RECEIPT OF THE ABOVE MERCHANDISE IS TO BE REPORTED ALSO ON RECEIVED REPORT FORM 35
MO 812-0179N (11-03)
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