Skip to form

South Dakota Department of Revenue

445 E. Capitol Ave. Pierre, SD 57501



Alcohol Licensee Delinquent Notices From Wholesalers

Notice of

Full Address

Date of Invoice

Date Picker

Amount of Invoice OR Returned Check

Date of Delinquency

Date Picker

Date Paid

Date Picker

Amount Paid

Wholesaler's Address

Acknowledgement Required

Please Upload the Written Notice of Delinquency

Sign Here

Choose how to sign