Florida > Statewide > Department Of Business And Professional Regulation > Alcoholic Beverages And Tobacco
Malt Beverages Shipped To-Within Florida 4000A-125-1 - Florida
| Malt Beverages 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 . |
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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-125-1 Rev. 12/03 BEVERAGES SHIPPED TO / WITHIN FLORIDA MALT BEVERAGES 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 CONSIGNEE'S CITY LOCATION INVOICE DATE NUMBER 16 OZ or > 16 OZ to LESS 32 OZ CONTAINER CONTAINER BULK GALLONS NAME OF CONSIGNEE Subtotals this page GRAND TOTALS FOR MONTH Individual containers of 32 ounces or less shall have imprinted thereon in clearly legible fashion, by any permanent method, the word "Florida" or "FL", and no other name or abbreviation of any state name, in not less than 8-point type. For exemption approval, contact DAB&T, Bureau of Licensing, Brand Registration Section. American LegalNet, Inc. www.FormsWorkFlow.com
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