O. Box 30005 Lansing MI 48909 Toll-Free 866-813-0011 - www. michigan.gov/lcc Michigan Breweries Monthly Report of Sales LCC-3859 MLCC Licensee Name Number Address City State Zip Code Phone Fax number Wholesaler/Retailer Name Address Retailer License Invoice Invoice Number Date Month Year Email Barrels 1/2 bbl. 1/4 bbl. 1/6 bbl. Cases Enter Additional Sizes/Quantities 24/12 24/16 Ounces Firkin Growler Sales to Michigan Wholesalers TOTAL MICHIGAN SALES Sales to Other States Computer reports that show this information in the same sequence may be submitted in lieu of this report. Contact 517-284-6256 for more information. Attach a copy of this report to the Michigan Beer Tax Report LCC-3803 and submit to the address at the top of this form. I certify that the information contained in this form is true and accurate to the best of my knowledge and belief. I also understand that providing false or fraudulent information is a violation of the Liquor Control Code pursuant to MCL 436. 2003. Prin....
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How to fill out the Lcc 3859 online
The Lcc 3859 form, or the Michigan breweries monthly report of sales, is vital for licensees to report their sales accurately. This user-friendly guide will walk you through the process of completing this form online with clear and detailed steps.
Follow the steps to fill out the Lcc 3859 online effectively.
- Press the ‘Get Form’ button to access the Lcc 3859 form and open it in your preferred digital editor.
- Begin by entering your licensee name as it appears on your MLCC license.
- Fill in your MLCC license number accurately to ensure the correct association with your account.
- Complete the address section with your current business location, including city, state, and zip code.
- Provide your contact information by entering your phone number and fax number.
- For wholesaler or retailer information, enter the name and address of your wholesaler or retailer relationship.
- Include the retailer license number associated with the wholesaler or retailer.
- Document the corresponding invoice number and date for your records.
- Specify the month and year for which you are reporting sales.
- Fill in the sales information by indicating the quantities for barrels, cases, ounces, firkins, and growlers as applicable.
- Report sales to Michigan wholesalers, retailers, and consumers clearly indicating the totals.
- Calculate and enter the total Michigan sales, including sales made to other states.
- If applicable, submit computer reports showing the same information instead of this report.
- Attach a copy of this report to the Michigan Beer Tax Report (LCC-3803).
- Review all entered information for accuracy then certifying that the information provided is true and accurate to the best of your knowledge.
- Finally, enter the printed name and title of the licensee, followed by their signature and the date.
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