Form Mt-43 Schedule B - Tax-Paid Purchases

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MT-43
New York State Department of Taxation and Finance
Wines, Liquors, Alcohol, and Distilled or Rectified Spirits
Schedule B — Tax-Paid Purchases
(9/09)
Legal name
Liquor tax registration number
Federal EIN or social security number
Period covered by this schedule
Read instructions on the back before completing schedule.
A
Liquors containing 24% alcohol or less
Wines containing 24% alcohol or less
Liquors, alcohol, distilled
Legal names, federal EINs,
Addresses of suppliers from whom alcoholic
or rectified spirits, and
B
C
D
E
F
and DBAs (if applicable) of suppliers from whom
beverages were received
wine containing more
More than 2%
2% alcohol
Natural
Artificially
than 24% alcohol
Still
alcoholic beverages were received
alcohol by volume
or less by
sparkling
carbonated
by volume
(includes wine
volume
sparkling
coolers)
(liters)
(liters)
(gallons)
(gallons)
(gallons)
(liters)
1
Subtotals
(add columns A through F)
.........................................................................................................
2
Subtotals
(from attached additional sheets)
..............................................................................................
3
Totals
(add lines 1 and 2; enter here and on Form MT-40, lines 3 and 8)
............................................
Purchases in transit
(do not include in totals)
Attach this completed schedule to Form MT-40, Return of Tax on Wines, Liquors, Alcohol, and Distilled or Rectified Spirits.
Attach additional sheets if necessary.

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