Rl-37 - Carrier'S Report Of Alcoholic Liquors Delivered

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Illinois Department of Revenue
RL-37
Carrier’s Report of Alcoholic Liquors Delivered
Step 1: Identify your business
Page ____ of ____
Business name _________________________________________
Report period:__ __/__ __ __ __
Month
Year
Address _______________________________________________
Number and street
______________________________________________________
City
State
ZIP
Step 2: Tell us about alcoholic liquors you delivered
Bill of lading
Shipper’s name
Consignee’s name
or shipper invoice
Date
Street address
Street address
Number of
Number of
number
delivered
City, state, ZIP
City, state, ZIP
containers
gallons
_______________ _ _/_ _/_ _ _ _ __________________________ __________________________ ____________
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*037011110*
RL-37 front (R-04/12) IL-492-1486
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