Schedule "T" (Form R-26) - Beverage Tax - Alcoholic Beverage Public Warehouse

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R-26
STATE OF NEW JERSEY
SHEET NO. ________ OF ________
9-97, Rev. 2
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
Submit the original and an extra copy of this
BEVERAGE TAX
REPORT FOR THE BIMONTHLY PERIOD OF
schedule with your original report. Keep a copy of
_____________ AND __________, YEAR_________
ALCOHOLIC BEVERAGE PUBLIC WAREHOUSE SCHEDULE “T”
this schedule attached to your file copy of the report.
RELEASES OF ALCOHOL OR ALCOHOLIC BEVERAGES DELIVERY OF WHICH AS DECLARED WAS TO A PLACE OUTSIDE OF THE
The withdrawals listed on this sheet were declared for
STATE OF NEW JERSEY DURING THE PERIOD COVERED BY THE REPORT TO WHICH THIS SCHEDULE IS ATTACHED,
A separate sheet must be used for each State into
delivery into the State of ________________________
which deliveries are transported.
By_____________________________________________ PUBLIC WAREHOUSE LICENSE NO.________________________________.
(Name of Public Warehouse)
NAME AND ADDRESS OF PERSON
NAME AND ADDRESS OF PERSON
NUMBER AND KIND OF
NUMBER AND SIZE OF
WITHDRAWING ALCOHOL OR
DATE OF
FROM WHOSE ACCOUNT
LICENSE
RELEASE
* KIND OF
PKGS., SUCH AS BBL.,
CONTAINERS:
ALCOHOLIC BEVERAGES;
WITHDRAWAL
THE ALCOHOL OR ALCOHOLIC BEVERAGES
NUMBER
BEVERAGE
NUMBER
CASE, etc.
12/qts., 24/pts., etc.
ALSO NAME AND ADDRESS OF CONSIGNEE
WERE WITHDRAWN
* IN COLUMN HEADED “KIND OF BEVERAGE” CLASSIFY AS EITHER BEER, LIQUOR, ALCOHOL, STILL WINES, VERMOUTH, SPARKLING WINES (including apple cider with more than 7% alcohol) or APPLE CIDER (3.2% to 7% alcohol).
(Continue List on Reverse Side)

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