Step 1: Download the 4000A-125-2 Form
Click the button above to access the 4000A-125-2 PDF issued by the DBPR Division of Alcoholic Beverages and Tobacco. The form is a single-page document. You can view it in your browser or save it to your computer.
Step 2: Record Each Wine Shipment
For every shipment you made during the reporting month, fill in the following on the form:
- Consignee's full name and Florida address
- Invoice number for the shipment
- Date of shipment
- Quantity shipped in gallons
- Whether the wine is above or below 17.26% alcohol by volume
List each consignee on a separate line. Do not combine multiple consignees on one line.
Step 3: Calculate Monthly Totals by Alcohol Content
Florida taxes wines at different rates depending on alcoholic strength. Add up all gallons shipped to consignees for wines at or below 17.26% ABV and for wines above that level. Enter the two category totals in the designated columns at the bottom of the form.
Step 4: Submit to DBPR by the 10th of Each Month
Mail or deliver the completed form to the Bureau of Auditing, Division of Alcoholic Beverages and Tobacco, in Tallahassee, FL. The deadline is the 10th of the month following the reporting period. For example, January shipments must be reported by February 10. Late submissions can result in fines and jeopardize your DBPR license.
Related Florida Compliance Forms
Florida distributors and manufacturers often need additional compliance documents. The certificate of compliance form handles product registration filings with DBPR. The ACT 539 regulatory license form covers general license requirements for beverage producers. If your operation involves tobacco products, the tobacco license renewal form is also administered by DBPR. For wine-specific submissions, the wine submission form covers federal and state registry filings for new wine products entering the Florida market.