R-9 (
STATE OF NEW JERSEY
9-07, Rev. 5)
SHEET No. ______ of ______
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
THE BEVERAGE TAX SECTION OF THE NJ
SCHEDULE “E”
BEVERAGE TAX
DIVISION OF TAXATION, ALCOHOLIC BEVERAGE
TAX, PO BOX 264, TRENTON, NJ
08695-0264
SHOULD BE IMMEDIATELY NOTIFIED IN CASE
OF ANY DISCREPANCIES ON THIS REPORT.
List under separate headings by accounts, all tax exempt shipments into the State of _______________________________ during the bimonthly period of
___________________________ and __________________________, year ____________ (See instructions)
by _____________________________________________________________________________ License No. ___________________________________
(Name of Licensee)
A separate sheet must be used for each state into which deliveries were made during the period. Submit an extra copy of each Schedule “E”.
Apple Cider*
Liquors
Sparkling
Beer and Malt
Name, and Address
Still Wines
Vermouth
(3.2% to 7%
(Alcohol)
Wines*
Beverages
of Purchaser
Alcohol)
Total Gallons
Total Gallons
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)
R-9 (
9-07, Rev. 5)
STATE OF NEW JERSEY
SHEET No. ______ of ______
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
THE BEVERAGE TAX SECTION OF THE NJ
SCHEDULE “E”
DIVISION OF TAXATION, ALCOHOLIC BEVERAGE
BEVERAGE TAX
TAX, PO BOX 264, TRENTON, NJ
08695-0264
SHOULD BE IMMEDIATELY NOTIFIED IN CASE
OF ANY DISCREPANCIES ON THIS REPORT.
List under separate headings by accounts, all tax exempt shipments into the State of _______________________________ during the bimonthly period of
___________________________ and __________________________, year ____________ (See instructions)
by _____________________________________________________________________________ License No. ___________________________________
(Name of Licensee)
A separate sheet must be used for each state into which deliveries were made during the period. Submit an extra copy of each Schedule “E”.
Apple Cider*
Liquors
Sparkling
Beer and Malt
Name, and Address
Still Wines
Vermouth
(3.2% to 7%
(Alcohol)
Wines*
Beverages
of Purchaser
Alcohol)
Total Gallons
Total Gallons
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)