Form Mt-52 - Schedule D - Tax-Free Sales - 2009
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1
2MT-52
New York State Department of Taxation and Finance
Beer and Similar Fermented Malt Beverages
Schedule D — Tax-Free Sales
(10/09)
Period covered by this schedule
Legal name
Beer tax registration number
Federal EIN or social security number
See Form MT-50-I, Instructions for Form MT-50, for assistance in completing this schedule.
Complete this schedule and attach it to Form MT-50, Beer Tax Return (and Similar Fermented Malt Beverages).
Name
Address
Gallons sold
during period
1 Subtotal ............................................................................................................................................................
1.
2 Total
2.
............................................................................................
(from back page and attached additional sheets)
3 Total gallons sold during period
...................................
3.
(add lines 1 and 2; enter here and on Form MT-50, line 11)
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