Form Bt-101 Instructions And Sample - Wisconsin Fermented Malt Beverage Tax Multiple Schedule Page 2

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BT-101 Wisconsin Fermented Malt Beverage Tax Multiple Schedule
Page
of
File this schedule with Form BT-100 or BT-104
Legal Name
Wisconsin Tax Account Number
FEIN/SSN
Month/Year (MM YYYY)
Type of schedule (check one)
1. Untaxed Purchases
3. Untaxed Credits
5. Untaxed Sales
2. Tax-Paid Purchases
4. Tax-Paid Credits
6. Tax-Paid Sales
Cases
Invoice
Purchased From or Sold To
Kegs
Total
Line
No.
(in barrels)
(in barrels)
Barrels
Date
Number
Name
State
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Page Totals – provide a grand total on the last page of
21
each schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ►
Wisconsin Department of Revenue
BT-101 (R. 10-13)
- 2 -

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