Administration

Regulations

204 CMR 3.00:
REPORTING BY BOTTLERS AND DISTRIBUTORS OF DEPOSITS RECEIVED AND REFUNDED AND OF HANDLING CHARGES PAID

Attachment A

Business name: _____________________________

Business address: __________________________

__________________________

Reporting period (month and year): _______________

1. Refund value of filled containers sold to dealers: _____

2. Refunds paid to dealers: _____

3. Refunds paid to redemption centers: _____

4. Refunds paid to third-party collecting agents: _____

5. Deposit fund value (line 1 minus lines 2, 3, and 4) _____

6. Handling charges paid to dealers: _____

7. Handling charges paid to redemption centers: _____

8. Handling charges paid to third-party collecting agents: _____

204 CMR 3.00