Form 61a508 - Annual Report Of Distilled Spirits In Bonded Warehouse - Kentucky Revenue Cabinet

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ANNUAL REPORT OF DISTILLED SPIRITS
61A508 (12-99)
Commonwealth of Kentucky
IN BONDED WAREHOUSE
REVENUE CABINET
Sheet No. ______ of ______ Sheets
As of January 1, ________
Name and Address of Distillery
Distilled Spirits in New Cooperage
Distilled Spirits in Reused Cooperage
Other Than Scotch Whiskey
Scotch Whiskey
County
Natural Spirits __________ Proof
D.S.P. No.
School District
Scotch Whiskey
New Cooperage
Reused Cooperage
Light Whiskey
Age at Import
45–50
45–50
35–45
45–50
35–45
45–50
35–45
35–45
1. 0 to 1
yr. old
2. 1 yr. plus to
2 yrs. old
3. 2 yrs. plus to
3 yrs. old
4. 3 yrs. plus to
4 yrs. old
5. 4 yrs. plus to
5 yrs. old
6. 5 yrs. plus to
6 yrs. old
7. 6 yrs. plus to
7 yrs. old
8. 7 yrs. plus to
8 yrs. old
9. 8 yrs. and
over
45–50 Gallon
35–45 Gallon
Under 120
121–140
141–160
Over 160
Under 120
121–140
141–160
Over 160
Degrees
Degrees
Degrees
Degrees
Degrees
Degrees
Degrees
Degrees
Gin
Vodka
Other
Estimated Fair Cash
Size of Cases
Number of Cases
Signature of
Value Per Case
Warehouseman ___________________________________________
Subscribed and sworn to before me this ____________________ day of
____________________ , ________ .
The affiant,_______________________________________________ ,
Signature of Notary Public __________________________________
stated that all distilled spirits in Warehouse No. _________ at the
My commission
opening of business, January 1, _______ , are included in this report
expires __________________________________________________
in accordance with KRS 132.130.

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