Excise Tax Report C-233 (Page 1)

 

 

 

 

Report must be signed by an officer or authorized representative of the Wholesaler

 

Check box if the Wholesaler DOES NOT CARRY Distilled Spirits and Wine.

If the Wholesaler also carries Distilled Spirits and Wine, Form C-210 must be filed

 

 

 

 

 

 

 

 

 

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