Fillable Form 363: - COMMON CARRIER DIRECT WINE SHIPMENT (Comptroller of Maryland)

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Form 363: - COMMON CARRIER DIRECT WINE SHIPMENT (Comptroller of Maryland)

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COMMON CARRIER DIRECT
WINE SHIPMENT REPORT
MARYLAND
FORM
363
Page 1
I do solemnly declare and afrm under the penalties of perjury that the contents of the foregoing document are true and correct
to the best of my knowledge, information and belief.
Print name ____________________________________________________________ Title: Owner, Partner or Ofcer ___________________________________________
Signature ____________________________________________________________ Date _________________________________________________________________
-
DELIVERY OF DIRECT WINE SHIPMENTS TO CONSUMERS IN MARYLAND
TOTAL NUMBER OF CASES OR BOTTLES OF WINE SHIPPED IN LITERS TO CONSUMERS
DURING REPORT QUARTER
1. Size: 4L 3L 1.5L 750ml 375ml 187ml 100ml
2. # of Cases:
3. # of Bottles:
4. Total Liters Shipped by Case or Bottle ...........................4. ______________
January - March April - June
July - September October - December
COM/RAD-363
Common Carrier’s Corporate Name and Trading As (T/A) Name Federal Employer ID Number (FEIN)
Street Address
City State Zip Code
Email Address Common Carrier Permit Number
CC-
For Calendar Quarter
COMMON CARRIER DIRECT
WINE SHIPMENT REPORT
MARYLAND
FORM
363
Page 2
-
A
Name & Address
of Direct Wine Shipper
B
Date of
Shipment
C
Name & Address
of Consumer Shipped to
D
Date of
Delivery
to
Consumer
E
Total Liters
Shipped
1
2
3
4
5
6
7
8
9
10
COM/RAD-363
Common Carrier’s Corporate Name Federal Employer ID Number (FEIN)
COMMON CARRIER DIRECT
WINE SHIPMENT REPORT
MARYLAND
FORM
363
Page 3
COM/RAD-363
This report shall be properly led and physically
received by the Revenue Administration Division no
later than the 21st day of the quarter following the
quarter in which wine was shipped to consumers in
Maryland.
Tax Period Due Date
January – March April 21st
April – June July 21st
July – September October 21st
October – December January 21st
Page 1 - Delivery of Direct Wine Shipments
to Consumers in Maryland
Line
1 If a size is not listed on the form, state the
size in the blank box and indicate number of
cases and bottles shipped
2 Number of cases of wine shipped to
consumers for each size
3 Number of bottles of wine shipped to
consumers for each size
4 Total amount of all liters of wine shipped by
case or bottle (Milliliters must be converted
to liters, e.g., 750ml = 0.75 liters)
Page 2 - Each Wine Shipment to Consumers
Column Line
A 1-10 Direct Wine Shipper’s name and
address
B 1-10 Date of shipment of wine to
consumer
C 1-10 Name and address of consumer
shipped to on shipping label
D 1-10 Date of delivery of wine to
consumer
E 1-10 Total liters of wine shipped to
address of consumer
This report must be signed by the owner, partner,
or ofcer of the corporation. If this is a corporation,
an ofcer (President, Vice President, Secretary or
Treasurer) must sign.
Mail report to:
Comptroller of Maryland
Revenue Administration Division
Returns Processing
P.O. Box 2999
Annapolis, Maryland 21404
For more information
Telephone: 410-260-7127 or 1-800-638-2937
Fax: 410-260-7924
http://compnet.comp.state.md.us/
http://www.marylandtaxes.com
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Form 363: - COMMON CARRIER DIRECT WINE SHIPMENT (Comptroller of Maryland)

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Completed 14 August 2020

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