Form Wi 1722 - Idaho Wine Distributors & Wineries Report Of Sales/transfers To Idaho Distributors

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Idaho Wine Distributors & Wineries Report
EFO00100
.
3-17-09
FORM WI 1722
of Sales/Transfers to Idaho Distributors
Employer I.D. No.
Name
Tax Period
Permit Number
INSTRUCTIONS:
You must list the company name, reporting permit number, invoice date and invoice number of each transaction. You must
report TOTAL GALLONS ONLY below. You may use the worksheet on the back of this form to report the number of packages sold/transferred
(columns 2 through 19). Convert to gallons and carry the amounts to TOTAL GALLONS, below, for each invoice.
Distributors and wineries complete this form.
Enter the total sales/transfers you have made during the month to distributors located in IDAHO.
For each sales invoice, you must enter the customer name, permit number, your invoice date and number.
If you have more than 19 invoices, carry the total on line 20 forward to the top of the next page. Continue this procedure until you have
reported all sales/transfers. On the last page of WI 1722, the line 20 total will be the accumulated total of all pages of WI 1722.
REPORTING
PERMIT
INVOICE DATE
INVOICE
TOTAL
NAME
NUMBER
NUMBER
MM/DD/YY
GALLONS
Balance Forward
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IF NOT LAST PAGE, CARRY TOTAL TO NEXT PAGE OF WI 1722.
TOTAL - Add lines 1 through 19.
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IF LAST PAGE, CARRY THIS AMOUNT FORWARD TO FORM WI 1752, Line 9.

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