Vermont > Statewide > Department Of Liquor Control
Semi-Annual Reporting Form - Vinous Beverages Shipped To Consumers - Vermont
| Semi-Annual Reporting Form - Vinous Beverages Shipped To Consumers 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 SEMI-ANNUAL REPORTING FORM VINOUS BEVERAGES SHIPPED TO CONSUMERS Company Name: Address: License No.: Date: Signature: January through June and July through December reporting dates (due by July 15 and January 15 respectively) Dates covered MM/YY MM/YY Names and address of persons delivered to Date purchased Name of Common Quantity of Each Carrier Used for Shipment in delivery gallons Monetary value of each shipment Reason for No Charge for shipment 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 PLEASE NOTE: IF YOU DO NOT HAVE A CHARGE LISTED FOR WINE SHIPPED TO A CONSUMER or RETAILER PLEASE EXPLAIN THE REASON , (ie. Corked, broken bottle, etc) American LegalNet, Inc. www.FormsWorkFlow.com
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