Form Rl-52 - Warehouseman'S Summary Of Alcoholic Liquors Stored For Others On Hand At End Of Month - 2012

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Illinois Department of Revenue
Warehouseman’s Summary of Alcoholic Liquors
RL-52
Stored for Others on Hand at End of Month
Step 1: Identify your warehouse
Warehouse name ________________________________________
Reporting period:__ __/__ __ __ __
Month Year
Street address ___________________________________________
City, State, ZIP ___________________________________________
Class of alcoholic liquor:
cider 0.5% to 7% or beer
alcoholic liquors 14% or less
(Check only one class per page.)
License no.: WH - __ __ __ __ __ Account ID: _ _ __ __ __ __ __ __ __
alcoholic liquors > 14% and < 20%
alcoholic liquors 20% or more
Step 2: Write the number of units on hand at the end of the month
(Additional space provided on Page 2.)
Units
Account name
50 ml
187 ml
200 ml
355 ml
375 ml
500 ml
750 ml 1.0 liter 1.5 liter 1.75 liter 4 liter
Misc.
_ _____________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
_ _____________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
______________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
______________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
______________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
______________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
______________________ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
Subtotal
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
Grand total
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
(See instructions.)
Step 3: Figure the monthly summary
Units
50 ml
187 ml
200 ml
355 ml
375 ml
500 ml 750 ml
1.0 liter 1.5 liter 1.75 liter 4 liter
Misc.
1
Total at beginning
of the month
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
2
Total received
during the month
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
(from Form RL-51)
3
Add Lines 1 and 2.
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
4
Total deliveries
(from Form RL-53)
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
5
Subtract Line 4
from Line 3. These
are the totals at the
end of the month.
_______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______ _______
Step 4: Sign below
Under penalties of perjury, I state that I have examined this report, which consists of ____ pages including Form RL-51 and Form RL-53, and
that to the best of my knowledge, it is true, correct, and complete.
_______________________________________________________________________________________________________________
Taxpayer’s signature
Title (State whether individual owner, member of firm, or give title if officer of corporation.)
Date
This form is authorized by the Liquor Control Act of 1934. Disclosure
of this information is REQUIRED. Failure to provide information could
*036011110*
result in denial of this application. This form has been approved by the
Forms Management Center.
RL-52 (R-04/12)
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