Form R-5698 Schedule 2 Still Wines Shipped Direct To Louisiana Consumers

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R-5698 (7/07)
Page _______ of _________
Schedule 2
Still Wines Shipped Direct
to Louisiana Consumers
List “still wines with an alcohol content of over 14-24%,” and “still
wines with an alcohol content of 14% and under,” on separate
schedules. Indicate the type of wine in the space provided.
PLEASE PRINT OR TYPE.
Company Name
LA Revenue Account Number
Type Being Reported
Filling Period (MM/DD/YYYY)
Number
Bottle
Invoice
Customer
of Bottles
Price per
Total Liters
Size
Date
Number
Customer Name
Address
Brand Name
Shipped
Bottle
Shipped
(volume)
Total

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