Form Mt-53 - Schedule E New York City Beer And Similar Fermented Malt Beverages - New York State Department Of Taxation And Finance Page 2

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MT-53 (12/96) (back)
Details of Lines 2, 3 and 4, Schedule E
2
Purchases on which New York City alcoholic beverages tax was paid
Registration number or
Name of supplier
federal ID number
Address
Gallons purchased during month
Total
(enter here and on line 2 on front)
3
Sales outside New York City without New York City alcoholic beverages tax
Registration number or
Name of customer
federal ID number
Address
Gallons sold during month
Total
(enter here and on line 3 on front)
4
Sales within New York City without New York City alcoholic beverages tax
Registration number or
Name of customer
federal ID number
Address
Gallons sold during month
Total
(enter here and on line 4 on front)
Attach additional sheets if necessary.

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