Form Com/att-037-6 - Maryland Brewer'S Report Of Beer Dispositions

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Report of ____________________________
Schedule Number______________________
Maryland Brewer’s Report of Beer Dispositions
Name of Brewery
Month of __________________________________________ 20 ____
Page _______________of________________
rd
Complete this form in triplicate. Send original and one copy to Alcohol and Tobacco Tax office. Retain 3
copy for your records.
(1)
(2)
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(14)
TOTAL
NAME
Invoice No.
Date
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TOTAL
26
Revised 7/07
COM/ATT-037-6

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