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Nonresident Sellers Report C-205 - Texas

Nonresident Sellers Report Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide .
 Fillable pdf Last Modified 3/11/2013
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NONRESIDENT SELLER'S REPORT Monthly Report of Wine and Distilled Spirits Shipped into the State of Texas During the Month/Year of: **REPORT IS DUE ON THE 15TH DAY OF THE MONTH FOLLOWING EACH REPORTING PERIOD** FORM C-205 (06/12) TABC USE ONLY ENTRY CHECKED TRADE NAME: ADDRESS: CITY: INVOICE DATE NUMBER TX WHOLESALER or WINERY CITY PERMIT NUMBER: S STATE: ZIP CODE: PHONE NUMBER: GALLONS UNITS WINE SPARKLING DISTILLED SPIRITS DISTILLED MINI's (20-60ml) WINE 14% AND LESS WINE OVER 14% TOTAL 0.00 0.00 0.00 0.00 0 AFFIRMATION, Under penalty of perjury, I swear I am an officer or authorized representative of the above Permittee, and I have examined this report, and confirm it is true, correct, and complete. Signature Title E-Mail Address Date INSTRUCTIONS: This form and any attachments must be filed on or before the 15th day of the month following each reporting period. Mail to TABC, PO BOX 13127, AUSTIN, TX 78711-3127 or submit electronically to the e-mail address below. Retain one copy for your files for a period of four years. As long as your permit remains active, you must file a report even if no business was conducted. A legible copy of each invoice must be submitted to support each entry. Each invoice must show total gallons of each class of liquor shipped, excluding total units of distilled spirit miniatures (20-60ml) . For assistance, please contact the Tax Division at (512) 206-3342 or excise.tax@tabc.state.tx.us. American LegalNet, Inc. www.FormsWorkFlow.com FORM C-205 (06/12) GALLONS DATE INVOICE NUMBER UNITS WINE SPARKLING DISTILLED SPIRITS DISTILLED MINI's (20-60ML) TX WHOLESALER or WINERY CITY WINE 14% AND LESS AND OVER WINE OVER 14% American LegalNet, Inc. www.FormsWorkFlow.com
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