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S Permit Holder Shipment Of Wine Reporting Form DLC 4231 - Ohio

S Permit Holder Shipment Of Wine Reporting Form Form. This is a Ohio form and can be used in Division Of Liquor Control Department Of Commerce Statewide .
 Fillable pdf Last Modified 8/8/2011
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Submit by E-mail For Questions call (614) 644-2411 Office Hours 8:00 to 5:00 Print Form Ohio Department of Commerce - Division of Liquor Control 6606 Tussing Road, Reynoldsburg, Ohio 43068-9005 http://www.com.ohio.gov/liqr S PERMIT HOLDER SHIPMENT OF WINE REPORTING FORM Pursuant to Ohio Revised Code 4303.232, the holder of an S permit is required to provide annually a report to the Division of Liquor Control the name, address, and quantity of wine purchased by each personal consumer in Ohio from the S permit holder. The submission of this form to the Division of Liquor Control must be done no later than March 1st for the prior January through December 12 month period. Please provide your email address in the designated area below. Wine shipped to Ohio Consumers January 1st through December 31st, (ENTER FILING YEAR) Permit Holder Name: S Permit Number: Permit Premises Address City State Zip Code Telephone Number Email Address * If reporting Cases shipped they should be reported as 750 ML - 12 bottle cases or equivalent cases containing nine liter total volume. If reporting bottles shipped they should be reported in 750 ML bottle equivalents. NAME OF OHIO CONSUMER SHIPPING ADDRESS *Cases Shipped *Bottles Shipped I certify the above information to be an accurate record of shipments made to Ohio personal consumers. ____________________________________ ___________________________ _________________ Print Name Title Date DLC4231 Rev. 1-2011 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 Permit Holder Name: S Permit Number: * If reporting Cases shipped they should be reported as 750 ML - 12 bottle cases or equivalent cases containing nine liter total volume. If reporting bottles shipped they should be reported in 750 ML bottle equivalents. NAME OF OHIO CONSUMER SHIPPING ADDRESS *Cases Shipped *Bottles Shipped American LegalNet, Inc. www.FormsWorkFlow.com
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