Form 363 - Maryland Common Carrier Direct Wine Shipment Report - 2013 Page 3
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1
2
3MARYLAND COMMON CARRIER
2013
FORM
363
DIRECT WINE SHIPMENT REPORT
This report shall be properly filed and physically received
This report must be signed by the owner, partner, or
by the Revenue Administration Division no later than the
officer of the corporation. If this is a corporation, an officer
21st day of the quarter following the quarter in which wine
(President, Vice President, Secretary or Treasurer) must
was shipped to consumers in Maryland.
sign.
Tax Period
Due Date
Mail report to:
January – March
April 21st
Comptroller of Maryland
April – June
July 21st
Revenue Administration Division
July – September
October 21st
Returns Processing
October – December
January 21st
P.O. Box 2999
Annapolis, Maryland 21404
Page 1 - Delivery of Direct Wine Shipments to
For more information
Consumers in Maryland
Telephone: 410-260-7127 or 1-800-638-2937
Line
Fax: 410-974-7924
1
If a size is not listed on the form, state the size in
the blank box and indicate number of cases and
bottles shipped
Number of cases of wine shipped to consumers
2
for each size
Number of bottles of wine shipped to consumers
3
for each size
Total amount of all liters of wine shipped by case
4
or bottle (Milliliters must be converted to liters,
e.g., 750ml = 0.75 liters)
Page 2 - Each Wine Shipment to Consumers
Column
Line
A
1-10
Direct Wine Shipper’s name and
address
B
1-10
Date of shipment of wine to consumer
C
1-10
Name and address of consumer
shipped to on shipping label
D
1-10
Date of delivery of wine to consumer
E
1-10
Total liters of wine shipped to address
of consumer
COM/RAD-363
Rev. 03/13
Page 3
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