Form Dr 0443 - Liquor And Beer Export Sales Report Attach To Form Dr 0442

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*130443==19999*
DR 0443 (09/26/13)
COLORADO DEPARTMENT OF REVENUE
Denver, CO 80261-0009
(303) 205-8211 Ext. 6848
Liquor and Beer Export Sales Report
Page ____ of ____
Attach to Form DR 0442
Company Name
Account Number
Period
(MM/YY - MM/YY)
_
Name of state exported to
Complete a separate report for each commodity and each state. Commodity reported on this schedule (Check one only)
Vinous Liquor (liters)
Spirituous Liquor (liters)
Hard Cider (gallons)
Malt Liquors (gallons)
3.2 Beer (gallons)
Date
Purchaser's Name
Invoice Number
Gallons/Liters
(MM/DD/YY)
Total, this page
Grand Total, last page only. (Enter this amount on line 8 of form DR 0442)
Photocopy and submit additional pages as needed.

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