Schedule A-Suppliers Monthly Liquor Report Of Sales To ND Wholesalers Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Schedule A-Suppliers Monthly Liquor Report Of Sales To ND Wholesalers Form. This is a North Dakota form and can be use in Office Of State Tax Commissioner Statewide.
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North Dakota Office of State Tax Commissioner
Schedule A - Electronic Report
Supplier's Monthly Liquor Report of Sales to North Dakota Wholesalers
Jan-10
Report Period (i.e. 200912):
Supplier Name:
FEIN:
ND Supplier License #:
Address:
City:
State:
Zip Code:
Phone:
E-mail:
SALES / RETURNS
Total Report Volume in Gallons (converted from liters - factor 0.26417)
Total Report Volume in Liters
N.D. Liquor
Invoice or Credit Memo Invoice or Credit Memo Wholesaler License
Date
Number
Number
ND Liquor Wholesaler Name
Alcohol (Liters)
Distilled Spirits
(Liters)
Wine Under 17%
Sparkling Wine \ Wine 17-24% Alcohol Alcohol By Volume
Champagne (Liters) By Volume (Liters)
(Liters)
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