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Get AK Form 406 2016

FEIN SSN Business Name DBA (if applicable) Mailing Address Physical Address of Brewery Mailing City State ZIP Code Physical City Contact Email Address Type of Entity (Check one): State ZIP Code Contact Phone Individual Partnership Corporation Limited Liability Corporation Other Please answer all the questions below: 1. Have you included a copy of your most recent Brewer s Report of Operations (TTB F5130.09) dated in the current calendar year? Yes No 2. Has this brewery excee.

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