South Dakota > Statewide > Department Of Revenue > Special Taxes Division > Alcohol
Price Filing Amendment Form SPT116 - South Dakota
| Price Filing Amendment Form Form. This is a South Dakota form and can be used in Alcohol Special Taxes Division Department Of Revenue Statewide . |
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PRICE FILING AMENDMENT FORM We hereby submit price list for new brand not heretofore sold: BRAND NAME PROOF Filed___________________________ Effective________________________ CONTAINERS CASE PRICE BOTTLE PRICE We hereby submit amendment to the present prevailing Price List which was filed on __________________. Filed_______________________________ Effective___________________________ (List in identical form the description and prices formerly filed, followed by the new price. Explain on this form the reason for price change, or attach letter of explanation.) SIZE OLD CASE PRICE NEW CASE PRICE NEW BOTTLE PRICE Dated______________________________ Wholesaler_______________________________ Signed by:________________________________ Amended or New price filing, Filed______day of _________________________________ 20_______ Amended price filing disapproved this ________day of _____________________________ 20_______ Department of Revenue Special Taxes Division By_____________________________________________ SD REV SPT 116 - 500 American LegalNet, Inc. www.FormsWorkflow.com
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