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Wines Shipped To-Within Florida 4000A-125-2 - Florida

Wines Shipped To-Within Florida Form. This is a Florida form and can be used in Alcoholic Beverages And Tobacco Department Of Business And Professional Regulation Statewide .
 Fillable pdf Last Modified 10/28/2011
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DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO 1940 NORTH MONROE STREET ยท TALLAHASSEE, FL 32399-1022 DBPR Form AB&T 4000A-125-2 Rev. 12/03 BEVERAGES SHIPPED TO / WITHIN FLORIDA WINES shipped to / within Florida during the month of Name City Telephone No. ( ) Contact Person Address State Yr Zip List each shipment and file on or before the 10th of each month to the address above, ATTN: Bureau of Auditing INVOICE NAME OF CONSIGNEE CONSIGNEE'S CITY LOCATION DATE LESS 17.259% NATURAL THAN CIDER OR MORE SPARKLING NUMBER 17.259% GALLONS GALLONS GALLONS GALLONS Subtotals this page GRAND TOTALS FOR MONTH Alcoholic Content: 17.26% or more by volume = 14% or more by weight Less than 17.26% by volume = less than 14% by weight American LegalNet, Inc. www.FormsWorkFlow.com
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