Form Wl-3 - Wine Or Liquor Returned To Distillery Or Winery And Other Miscellaneous Tax Credits

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Indiana Department of Revenue
Wine or Liquor Returned
WL-3
To Distillery or Winery
State Form #47033
Revised 1/95
And Other Miscellaneous Tax Credits
(Formerly Schedules B-1 & B-3)
Reporting Month ________________ Year________________
Name (Wholesaler As appears on Permit)
Federal I.D. Number
Address
City
State
Zip
State Wine Permit Number
State Liquor Permit Number
To be accompanied by Supporting Documents.
Attach to Form 701 (Schedule A)
Mail To:
Indiana Department of Revenue
P.O. Box 901
Indianapolis, IN 46206

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