ST-3N MFI
Form
(rev. 01/03)
Georgia Department of Revenue
Sales and Use Tax Division
P.O. Box 105296
Dealer Insert
Atlanta, Georgia 30348-5296
2003
ID ______________ ID ______________ ID ______________ ID ______________ ID _____________
Gross Sales and/or Use Tax .
Exemptions/Deductions ........
State Tax ................................
Marta Tax ...............................
Local Option Tax ...................
Towns County 2nd L/O Tax ...
Special Purpose Tax .............
Educational Tax .....................
Homestead Tax .....................
Excess Tax ............................
Total Tax Due .........................
Vendor’s Compensation .......
ID ______________ ID ______________ ID ______________ ID ______________ ID _____________
Gross Sales and/or Use Tax
Exemptions/Deductions ........
State Tax ......................
Marta Tax ...............................
Local Option Tax ...................
Towns County 2nd L/O Tax ...
Special Purpose Tax .............
Educational Tax .....................
Homestead Tax .....................
Excess Tax ............................
Total Tax Due .........................
Vendor’s Compensation .......