Form Wl-1 - Monthly Indiana Wine And Liquor Wholesalers Purchase Schedule

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WL-1
Indiana Department Of Revenue
Formerly Schedule A-1
Monthly Indiana Wine and Liquor
State Form 46997
Wholesalers Purchase Schedule
(R2 / 9-12)
Reporting Month __________________
Year _________
Name (Wholesaler as appears on permit)
Federal I.D. Number
Address
City
State
Zip Code
State Wine Permit Number
State Liquor Permit Number
This Schedule must be attached to Revenue Form 710.
Mail To:
Indiana Department of Revenue
P.O. Box 901
Indianapolis, IN 46206

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