Form Ltd 4a - Liquor Wholesaler Monthly Report Of Military Sales - Nevada Department Of Taxation

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NEVADA DEPARTMENT OF TAXATION
1550 E COLLEGE PARKWAY
CARSON CITY, NEVADA 89706
LIQUOR WHOLESALER MONTHLY REPORT OF MILITARY SALES (NRS 369.335)
Excise tax credit (as shown on LTD 1) for alcoholic beverages sold to MILITARY UNITS in Nevada, who qualify
as “Instrumentalities of the Armed Forces of the United States” during the month of
, 20
By the firm of
Street
City
This report must be made monthly to the Department of Taxation for shipments to military installations.
MALT BEVERAGES
ALCOHOLIC BEVERAGES
BOTTLE
KEG
GALLONS
GALLONS
GALLONS
BASE, POST, STORE,
OR CAN
DATE
NAME AND LOCATION SHIPPED TO
14.1% to 22%
22.1% to 80%
INSTALLATION
GALLONS
.5% to 14%
GALLONS
GALLON TOTALS:
LESS .5% FORMERLY DISCOUNTED:
TOTAL, ENTER ON LINE 4a OF TAX RETURN:
The foregoing report is true and correct to the best of my knowledge and belief.
Signed................................ ................................ .........................
Title ................................ ................................ .............................
LTD 4a (10/03)

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