Sd Eform 0886 - Alcoholic Beverage Gallonage Report Of Monthly Sales To Ellsworth A.f.b. Military Mess'S

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HELP
SD EForm - 0886
V1
ALCOHOLIC BEVERAGE GALLONAGE REPORT OF
MONTHLY SALES TO ELLSWORTH A.F.B. MILITARY MESS'S
Mail To: Special Tax Division, Department of Revenue, 445 E Capitol Ave, Pierre, SD 57501-3100
Malt
Wine & diluted
Wine except
Wine &
Other diluted
Cider
Beverages
bev. except spkg.
Spkg.
Sparkling
bev., wines &
______________
3.2 %-14%
14-1% - 20%
wine
distilled spirits
(Month & Year)
20.1% - 24%
In barrels
In gallons
In gallons
In gallons
In gallons
In gallons
Dakota's -
Officer's Club
Billeting
Base Exchange
Shoppette
Snack & Brew
Bowling
Center
Recreation
Center
Other
This report is necessary for the proper reversion of the occupational tax due Ellsworth AFB based on the monthly sales made
th
by your firm to the units at Ellsworth Air Force Base. This report must be filed on or before the 10
of every month
reflecting the previous month sales. If no sales were made during the month, a "No Sales Report" must be filed.
____________________________________________________________________________________________________
I DELARE UNDER THE PENALTY OF PERJURY THAT THIS REPORT HAS BEEN EXAMINED BY ME AND TO
THE BEST OF MY KNOWLEDGE AND BELIEF IS A TRUE, CORRECT AND COMPLETE REPORT.
Firm Name__________________________________________________________ Date:_________________________
Signature of Preparer__________________________________________________ License Number:________________
SD SPT 106 / 04-12-2000
1.
PRINT FOR MAILING
2.
EXIT
CLEAR FORM

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