North Carolina > Statewide > Alcoholic Beverage Control Commission

Wine Shipper - Quarterly Shipment Report - North Carolina

Wine Shipper - Quarterly Shipment Report Form. This is a North Carolina form and can be used in Alcoholic Beverage Control Commission Statewide .
 Fillable pdf Last Modified 4/2/2007
Get this form for FREE as a print-only pdf

North Carolina Alcoholic Beverage Control Commission Wine Shipper - Quarterly Shipment Report This form must be completed quarterly and received by the Commission by the 15th day of the month immediately following each quarter. Quarters - January 1 - March 31, April 1 - June 30, July 1 - September 30, October 1 - December 31 Please print or type. DATE OF SHIPMENT BRAND NAME TYPE Price per Bottle Quantity in Liters Page of AMT. EXCISE AMT. SALES TAX PAID TAX PAID Permittee Name: Permittee Address: Permittee Phone Number: Email Address: Permit Number: OATH OF APPLICANT I certify as required by NCGS 18B-902(a) and (c) that this document is true, correct and complete to the best of my knowledge. Not more than 2 cases (18 liters) have been shipped/sold to any one individual within one month. Total number of cases shipped this calendar year to date (9 liters per case). Printed Name and Position of Authorized Official: Signature of Authorized Official: Date NC Wine Shipper Brand Listing - 10/03 American LegalNet, Inc.
Link/Embed this Document

Popular Searches

  1. financial affidavit
  2. adoption
  3. dissolution of marriage
  4. civil cover sheet
  5. name change
  6. writ of execution
  7. visitation
  8. lien
  9. dismissal

Bookmark and Share