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TC-730 Rev. 11/94
Utah State Tax Commission
Schedule of Sales to Utah Beer Distributors
Mail to: This is a record of sales by out-of-state brewers, wholesalers or distributors holding a certificate of approval issued by the Utah Department of Alcoholic Beverage Control authorizing the sale of malt liquors to licensees within the State of Utah. For assistance call (801) 297-2200 or outside Salt Lake area, within Utah, 1-800-662-4335. Auditing Division Utah State Tax Commission 210 North 1950 West Salt Lake City, Utah 84134
This report is due the last day of the month, to cover sales to licensed Utah distributors for the previous month.
Name
Month
Year
19 ______
Address City State Zip Code
Detail of information shown below is listed on back of this form.
1. Number of barrels of draft beer
2. Number of barrels of bottled beer
3. Total Barrels (per detailed list attached)
I certify that this report, including any accompanying schedules, has been examined by me and to the best of my knowledge is a true, correct and complete report.
Signature X This form must be signed and dated by hand after it is printed. Title Date signed
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TC-730.CDR 11/94
Summary of Shipments Made From Out-of-state Brewers to Distributors Within the State of Utah
Name Month
19 ____
Address City State ZIP Code
Number of cases and barrels Date Invoice number Reference number Name and address of distributor Name of transporter 24/ 11 oz. 24/ 12 oz. 12/ 32 oz. 1/4 BBL 1/2 BBL 1/1 BBL
Total packages (Cases or kegs) Factor for conversion to barrels (multiply) Total barrels (Barrel = 31 gals. or 3968 oz.) Round two decimal places.
Total .06653 .07258 .09677 .25 .5 1
Grand total barrels
TC-730B.CDR 11/94