Form Rev-1055 - Schedule C Malt Beverage Purchased From Manufacturers Outside Pennsylvania

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SCHEDULE C
REV-1055 AS+ (04-11)
BUREAU OF BUSINESS TRUST FUND TAXES
MALT BEVERAGE PURCHASED FROM
MISCELLANEOUS TAX DIVISION
MANUFACTURERS OUTSIDE PENNSYLVANIA
PO BOX 280909
HARRISBURG PA 17128-0909
Attach to REV-1014
Print or Type
BUSINESS NAME
ADDRESS
STREET
CITY
STATE
ZIP
REPORTING MONTH/YEAR
EIN
LICENSE NUMBER
LID NUMBER
PREPARE A SEPARATE SCHEDULE FOR EACH OUT-OF-STATE MANUFACTURER.
MANUFACTURER NAME
MANUFACTURER EIN
MANUFACTURER ADDRESS
STREET
CITY
STATE
ZIP
BARRELS
UNITS
OTHER
OTHER
INVOICE
INDICATE SIZE
INDICATE SIZE
DAY
1/2 PT.
1 PT.
1 QT.
GALLON
NUMBER
1/8
1/6
1/4
1/2
CAN & BOTTLE
CAN & BOTTLE
CAN & BOTTLE
128 OZ.
7 OZ. TO 8 OZ.
8.1 OZ. TO 16 OZ.
16.1 OZ. TO 32 OZ.
TOTALS

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