Vermont > Statewide > Department Of Liquor Control
Annual Reporting Form - Vinous Beverages Shipped To Retailers - Vermont
| Annual Reporting Form - Vinous Beverages Shipped To Retailers Form. This is a Vermont form and can be used in Department Of Liquor Control Statewide . |
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VERMONT DEPARTMENT OF LIQUOR CONTROL ANNUAL REPORTING FORM VINOUS BEVERAGES SHIPPED TO RETAILERS Company Name: Address: License No.: 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 American LegalNet, Inc. www.FormsWorkFlow.com
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