Fillable Liquor and Beer Purchases Wholesaler's Report of (Colorado DORA)

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Liquor and Beer Purchases Wholesaler's Report of (Colorado DORA)

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Colorado Department of Regulatory Agencies (DORA) is responsible for professional licensing and consumer protection in Colorado USA.

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Page of
Attach to Form DR 0442
Wholesaler's Report of
Liquor and Beer Purchases
DR 0445 (07/19/19)
COLORADO DEPARTMENT OF REVENUE
Denver CO 80261
303-205-6848
DOR_ExciseTax@state.co.us
www.Colorado.Gov/Tax
Company Name Account Number Period (MM/YY)
Commodity reported on this schedule, (check one only):
Vinous Liquor (liters) Spirituous Liquor (liters) Hard Cider (gallons) Malt Liquor (gallons)
Date
Account
Number
Supplier's Name
Invoice
Number
Gallons/Liters Purchased
Tax Included
Tax Not
Included
Totals, this page..................................
Grand Totals, last page by product
Enter these amounts on line 3 or line 4 of form DR 0442.
In lieu of completing this form, you may submit computer printouts, which must follow the same format.
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Liquor and Beer Purchases Wholesaler's Report of (Colorado DORA)

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Completed 9 April 2022

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