Form R-7 - Schedule "D-W" - Beverage Tax Page 2

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(
04-12, Rev 1)
R-7
SCHEDULE “D-W”
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
Sub Totals
Sales to New Jersey Retailers
ADD ON-PREMISE & OUTLET SALES
ADD TOTAL DIRECT SHIP TO NJ CONSUMERS
Add Any Thefts
Add Samples & Donations
Add Breakage
OTHER
**
Adjustment to Balance
to Physical Inventory
TOTALS
* Apple cider containing more than 7% alcohol to be included under “Sparkling Wines”. Apple cider containing 3.2% to 7% alcohol to be included under
“Apple Cider”.
** Explain Any Minus Adjustment on Separate Rider
(ATTACH ADDITIONAL SHEETS IF NECESSARY)

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