Schedule 3 (Form Alc-Wl1-3) - Samples Removed From Inventory

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ALC-WL1-3
September 2011
Oklahoma Tax Commission
_________________________________________________________________
Alcohol and Tobacco Section
Name
Schedule 3
___________________________________________
___________________
Samples Removed from Inventory
Month
Year
Report in Liters
(carry to 3 decimal places)
Sparkling Wine
Invoice
Invoice
For OTC
Spirits
Wine Over/Under 14%
Supplier
$0.55 per liter
Date
Number
Use Only
$1.47 per liter
$0.19 per liter
Tax Value
Totals
Attach copies of invoice and remit tax.

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