Form Alc 81a (Schedule A,b) - Bottled Or Canned Beer (Beer And Malt Beverage) Sold In Interstate Commerce Or To Military Installations

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ALC 81A
Rev. 4/10
P.O. Box 530
Columbus, OH
43216-0530
Schedule A
Bottled or Canned Beer Sold in
Interstate Commerce or to Military Installations
(Please attach this form to the ALC 81)
Name
Account number
Month
Report in Cases
Invoice
Invoice
Date
Number
Purchaser
24/12
12/32
12/12
24/16
1. Total cases shown on invoices listed
.403
.605
.202
.605
2. Tax rate per case
$
3. Tax to be refunded (line 1 X line 2)
$
Carry net totals forward to line 6 on your ALC 81.
Schedule B on page 2

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