Form Mt-61 - Schedule C - Out-Of-State Sales

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New York State Department of Taxation and Finance
MT-61 (9/01)
Cider
File Two Copies
Schedule C — Out-of-State Sales
Distributor’s name
State Liquor Authority license number
For the months of January through
December of year:
See instructions on Form MT-60-I, Instructions for Form MT-60, Cider Tax Return, and Form MT-61, Schedule C — Out-of-State
Sales, before completing this schedule.
Submit two copies of this schedule with Form MT-60, Cider Tax Return. Keep a third copy for your records.
Sales of cider transferred to purchaser at a point outside New York State in the state of:
A separate sheet must be used for each state into which deliveries were made during the above period.
Name and address of customer to whom cider was sold
Gallons of cider
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