Annual Reporting Form - Vinous Beverages Shipped To Retailers
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Annual Reporting Form - Vinous Beverages Shipped To Retailers Form. This is a Vermont form and can be use in Department Of Liquor Control Statewide.
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Tags: Annual Reporting Form - Vinous Beverages Shipped To Retailers, Vermont Statewide, Department Of Liquor Control
VERMONT DEPARTMENT OF LIQUOR CONTROL
ANNUAL REPORTING FORM – VINOUS BEVERAGES SHIPPED TO RETAILERS
Company Name:
License No.:
Address:
Date:
Signature:
January through December reporting dates Report is due at DLC by January 15
Dates covered
MM/YY –
MM/YY
Licensee Name
Address shipment
delivered to
Amount of
beverages
shipped/
year
th
# of gallons sold
Common
Carrier Used
Monetary
value of total
shipments
TOTAL AMOUNT OF GALLONS AND VALUE OF ALL SHIPMENTS:________________GALLONS____________VALUE
Please return form to: Vermont Department of Liquor Control, 13 Green Mountain Drive, Montpelier, VT 05602 or fax
802-828-1031, Email to dlc-licensing@state.vt.us
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