Looking for a Nevada Department Of Taxation Forms And Templates? Download it for free!

Form Liq-3 - Liquor Importer/wholesaler Monthly Report Of Exports - Nevada Department Of Taxation

NEVADA DEPARTMENT OF TAXATION

TID

1550 COLLEGE PARKWAY, STE. 115

(Enter the 10 digit Taxpayer ID# followed by the 3 digit location #)

CARSON CITY, NEVADA 89706

For the month of ___________________

LIQUOR IMPORTER/WHOLESALER MONTHLY REPORT OF EXPORTS

Firm Name

Street

City

State

Zip Code

Excise tax credit (Line 3 on LIQ-1) for alcoholic beverages exported from the State of Nevada

(NRS 369.370)

A copy of this report must be filed for each State that liquor is exported to.

State Exported to

MALT BEVERAGES

ALCOHOLIC BEVERAGES

NAME AND ADDRESS WHERE

DATE

CITY

BOTTLE

KEG

GALLONS

SHIPMENT IS MADE

OR CAN

GALLONS

.5% to 14%

14.1% to 22%

22.1% to 80%

GALLONS

GALLON TOTALS:

LESS .5% FORMERLY DISCOUNTED:

TOTAL, ENTER ON LINE 3 OF TAX RETURN:

The information above is true and correct to the best of my knowledge and belief.

Signed ..................................................................................

Title.......................................................................................

Date

LIQ-3 (05/07)

SUPPLEMENTAL PAGE TO LIQ-1

Form Liq-3 - Liquor Importer/wholesaler Monthly Report Of Exports - Nevada Department Of Taxation