Form R-7 - Schedule "D-W" - Beverage Tax

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STATE OF NEW JERSEY
R-7 (
04-12, Rev 1)
SHEET No. ______ of ______
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
SCHEDULE “D-W”
BEVERAGE TAX
NOTE: See Instructions
List under separate headings by accounts, sales to retailers, consumers, and miscellaneous sales made during the bimonthly period of
___________________________ and __________________________, year ____________ by
________________________________________________________________ License No. ___________________________________
(Name of Licensee)
Apple Cider*
License Number
Name and Address of Retailer
Still Wines
Sparkling Wines
Vermouth
(3.2% to 7% Alcohol)
Total Gallons
Total Gallons
Total Gallons
Total Gallons
* Apple cider containing more than 7% of alcohol by volume must be included under “Sparkling Wines”. Apple cider containing 3.2% to 7% alcohol
to be included under “Apple Cider”.
(CONTINUE LIST ON REVERSE SIDE)

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