Form Wl-5 - Monthly Report Of Common Carriers Transporting Distilled Spirits And Wines Into Or Out Of Oklahoma

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Form WL-5
Revised 5-2012
Monthly Report of Common Carriers Transporting Distilled Spirits and Wines Into or Out of Oklahoma
Oklahoma Tax Commission
Excise Tax Section, Audit Division
2501 North Lincoln Boulevard
Oklahoma City, OK 73194
(405) 521-3242
Name:
License Number:
Report Month:
Address:
Phone Number:
Contact Person:
This report must be filed with the Oklahoma Tax Commission on or before the 10th day of the month covering all shipments for the previous month.
Delivery
Shippers Number
Supplier/Winery (Not Warehouse)
Shipped From
Delivered
Where Delivered
Number
Date
or PO Number
(Full Name and Address)
(Full Address - City, State)
to Whom
(Full Address - City, State)
of Cases
You must attach a copy of the itemized signed bill of lading for each shipment.
I declare that the information contained in this document and any attachments is true and correct to the best of my knowledge and belief.
Authorized Signature
Date

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