Form Alc-36crev - Schedule C - Ohio Department Of Taxation

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Excise Tax Form
ALC-36CRev. 11/03
P.O. Box 530
Columbus, OH 43216-0530
Schedule C
Name
Address
City
State
ZIP
Interstate wine sales into
for the month of
(Month, Year)
(State)
Report in Gallons, Round to Nearest Hundredth
Invoice
Invoice
Shipped To
Date
Number
14%
14%–21% Vermouth
Mixed
Sparkling
Cider
6% or Less
or Less
Beverage
Total gallonage shown on invoices listed
This form may be reproduced by you as needed.

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