HTML Preview Distributor Sales Activity Report page number 1.


7 Totals from other Nebraska Schedule I, Form 51A ......................... 7
8
Total number of units (enter column A amount on line 1, Form 51A)
... 8
9 Total gross proceeds (enter column B amount on line 2, Form 51A) ............... 9 $
10 Total definite profit (enter column C amount on line 3, Form 51A) ...................................................... 10 $
11 Beginning inventory (must match ending inventory last tax period) ................. 11
12 Net units purchased from all manufacturers..................................................... 12
13 Total of line 11 and line 12 .................................................................................................................. 13
14 Net units sold in Nebraska ............................................................................... 14
15 Net units sold out-of-state ................................................................................ 15
16 Total number of units sold (total of line 14 and line 15) ....................................................................... 16
17 Ending inventory of units (line 13 minus line 16) .................................................................................
INVENTORY OF PICKLE CARD UNITS
SUMMARY OF SALES — LICENSED ORGANIZATION
NEBRASKA SCHEDULE I — Distributor Activity Report
• Read instructions on reverse side
• Attach to Form 51A
FORM
51A
Name as Shown on Form 51A Nebraska Identification Number Tax Period
(B)
Gross Proceeds
$$
PLEASE MAKE A COPY FOR YOUR RECORDS
State Identication Number
(A)
Number of
Units
Name
(C)
Denite Prot
9-052-1988 Rev. 6-2009
Supersedes 9-052-1988 Rev. 7-2002
17
.00
.00
RESET FORM
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