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Report Of Shipments Of Alcoholic Beverages Into Nevada LTD 04 - Nevada

Report Of Shipments Of Alcoholic Beverages Into Nevada Form. This is a Nevada form and can be used in Liquor Tax Department Of Taxation Statewide .
 Fillable pdf Last Modified 4/5/2007
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REPORT OF SHIPMENTS OF ALCOHOLIC BEVERAGES INTO NEVADA Page ____________ of ____________ TO: Nevada Department of Taxation 1550 E. College Parkway Rm. 115 Carson City, Nevada 89706 Today's date Shipments for (Month/Year) FROM: (Supplier's Name) Certificate of Compliance Number (Address) (City) (State) (Zip) SUBJECT: Alcoholic beverages shipped into Nevada pursuant to Certificate of Compliance (NRS 369.430). This form must be mailed to the Department no sooner than the end of the month and no later than the 10th of the following month. ZERO (NO SHIPMENT REPORTS) ARE NOT REQUIRED. Nevada Import/Wholesaler Shipped To: (One Import/Wholesaler Location per Report) Address Shipped To: SHIPPING DATE INVOICE NUMBER TOTAL CASES BEER GALLONS Keg or Draught Bottled or Canned ALCOHOLIC BEVERAGES .5% to 14% GALLONS 14.1% to 22% GALLONS 22.1% to 80% GALLONS TOTALS: INCLUDE COPIES OF ALL INVOICES WITH EACH REPORT SUBMITTED. DO NOT USE STAPLES Reported by Title or Department Phone Number ( LTD 04 ) 8/03 American LegalNet, Inc. www.FormsWorkflow.com
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