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OMB No. 1513-0053 DEPARTMENT OF THE TREASURY / /201 ALCOHOL AND TOBACCO TAX AND TRADE BUREAU TTB REPORT OF WINE PREMISES OPERATIONS OPERATED BY Name Address and Telephone PERIOD COVERED Year Only or Year Month or Year Quarter YEAR MONTH January to March July to September October VERSION Select Original or Amended. Select Final also if last report for the business EIN REGISTRY NUMBER Original Amended Final Report INSTRUCTIONS 1. Keep the copy on y.

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