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Get MI LCC-3890 2011

MICHIGAN WINE TAX REPORT 1. General Information 2.Reporting Period 4. Verification of Tax Report Name: Month or Qtr/Year: I declare that the information in this report is correct. Signature Title Date Street: 3. License No: City, State, Zip: Business Phone: ( ) th INSTRUCTIONS This report MUST be filed on or before the 15 day of the month following the reporting period whether or not any transactions have th occurred. Repo.

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