Vermont > Statewide > Department Of Taxes
Statement Of Vinous Beverages Sold To Vermont Dealer VB-3 - Vermont
| Statement Of Vinous Beverages Sold To Vermont Dealer Form. This is a Vermont form and can be used in Department Of Taxes Statewide . |
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VERMONT DEPARTMENT OF TAXES PO BOX 547 MONTPELIER, VT 05601-0547 STATEMENT OF VINOUS BEVERAGES SOLD TO A VERMONT DEALER For month of __________________, 20______ File this report on or before the 20th of each month. Distributor Distributor's Address City State ZIP Code VT Dealer (Use a separate sheet for each Vermont dealer.) Address City State ZIP Code Include Transfers and/or Credits to VT Dealers INVOICE GAL 4 1/2 GAL 6 64 OZ MAG 6 NUMBER OF CASES BY VOLUME QTS OR LITRE 12 5THS 12 PTS 24 10THS 24 20THS 48 JERO 4 101.4 104 OZ 4 LITRE 4 135 OZ TOTAL GALLONS Number Date 128 OZ 48 - 52 27 - 33.9 19 - 26.9 15 - 18.9 11 - 14.9 0 - 10.9 OZ OZ OZ OZ OZ OZ TOTAL CASES I declare, under penalties of perjury, that this return (including any accompanying schedules and statements) is true, correct, and complete to the best of my knowledge. Distributor Signature Date Prepared by (Print or Type) Title Rev. 10/07 Form VB-3 American LegalNet, Inc. www.FormsWorkFlow.com
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