Sd Eform 0890 - Brewers Monthly Report Of Sales Of High Point Beer And Low Point Beer (3.2) Sold To South Dakota Wholesale Licensees

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HELP
SD EForm -
0890
V1
Brewers Monthly Report of Sales of High Point Beer
and Low Point Beer (3.2) sold to South Dakota Wholesale Licensees
South Dakota Department of Revenue
Special Taxes Division, 445 East Capitol Avenue, Pierre, SD 57501-3100
Name of Brewer ____________________________________________________________ Address ________________________________________________
Month of _______________________, 20_________
________________________________________________
To whom shipped and
Invoice
Date
3.2%
½
¼
12/12
12/32
12/25
24/7
12/40
24/10
24/12
24/16
35/7
36/7
36/8
48/7
32/7
For Office Use Only
Address
No.
or H.P.
bbl
bbl
th
(Report Must be Submitted for the previous month’s business by the 15
of the following month)
State of _______________________________________
County of _____________________________________
On this day personally appeared before me, the undersigned, who being duly sworn, states that he has read this report and accompanying schedules and that the statements contained
herein are true and correct.
Sworn to and subscribed before me this ___________ day of ___________________ 20________
______________________________________________________________
____________________________________________________ Notary Public
___________________________________________________________Title
SPT 110
PRINT FOR MAILING
CLEAR FORM
1.

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