Form BSM "Monthly Report of Beer Shipments Into the State of Montana" - Montana

What Is Form BSM?

This is a legal form that was released by the Montana Department of Revenue - a government authority operating within Montana. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2013;
  • The latest edition provided by the Montana Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BSM by clicking the link below or browse more documents and templates provided by the Montana Department of Revenue.

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Download Form BSM "Monthly Report of Beer Shipments Into the State of Montana" - Montana

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MONTANA
BSM
New 12 13
MONThly RepORT Of BeeR ShipMeNTS iNTO The STATe Of MONTANA
Report Date
M M /
D D
/
y y y y
Report is due by the 15th day of each month for product shipped the previous month.
Name
_________________________________________________________________________________
Address
_______________________________________________________________________________
Address
_______________________________________________________________________________
City, State, Zip
_________________________________________________________________________
Did you ship beer to Montana during this reporting period?
Yes
No
License Number:
-
-
-
Total Barrels of Beer Shipped into Montana to a Wholesaler
NOTe: If you ship beer into Montana to a retailer, you must complete forms BET and BET-3, and
pay the applicable tax.
AffiDAViT
I hereby swear or affirm under penalty of false swearing that the statements contained herein are
true to the best of my knowledge.
Signature
_____________________________________________________
Name
________________________________________________________
Phone
________________________________________________________
Date
_________________________________________________________
Mail To:
Montana Department of Revenue
PO BOX 1712
Helena, MT 59624-1712
*11MA0101*
*11MA0101*
MONTANA
BSM
New 12 13
MONThly RepORT Of BeeR ShipMeNTS iNTO The STATe Of MONTANA
Report Date
M M /
D D
/
y y y y
Report is due by the 15th day of each month for product shipped the previous month.
Name
_________________________________________________________________________________
Address
_______________________________________________________________________________
Address
_______________________________________________________________________________
City, State, Zip
_________________________________________________________________________
Did you ship beer to Montana during this reporting period?
Yes
No
License Number:
-
-
-
Total Barrels of Beer Shipped into Montana to a Wholesaler
NOTe: If you ship beer into Montana to a retailer, you must complete forms BET and BET-3, and
pay the applicable tax.
AffiDAViT
I hereby swear or affirm under penalty of false swearing that the statements contained herein are
true to the best of my knowledge.
Signature
_____________________________________________________
Name
________________________________________________________
Phone
________________________________________________________
Date
_________________________________________________________
Mail To:
Montana Department of Revenue
PO BOX 1712
Helena, MT 59624-1712
*11MA0101*
*11MA0101*
BeeR ShipMeNTS iNTO The STATe Of MONTANA
Name of Brewery ______________________________ City _______________________ Month/year ____________
first five letters
of the Wholesaler
Wholesaler license Number
Barrels Sold
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► If you need additional pages, please go to revenue.mt.gov.
► Legible copies of all invoices of beer shipments must be attached.
*11MA0201*
*11MA0201*
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