Form St-3 - Sales And Use Tax Return - Georgia Page 3
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ST-3
Page 3
Form
(Rev. 9/11)
Georgia Department of Revenue
Sales and Use Tax Return
P.O. Box 105408
Atlanta, Georgia 30348-5408
Version 1
Part B Continue
Part B Continued
Part B Continued
Use Tax Distribution Table
Use Tax Distribution Table
STATE AND LOCAL
JURISDICTION OF
USE TAX
JURISDICTION OF USE-NAME
USE-CODE
REASON CODE
USE TAX AMOUNT
24.
25.
26.
ADDENDUM PAGE TOTALS
27.
TOTAL USE TAX
28.
(Record on Part A, Line 5)
Vendor’s Compensation Calculation
Vendor’s Compensation Calculation
TAX
VENDOR COMPENSATION
TAX AMOUNTS
RATE
3%
29.
State and Local tax- non motor fuel sales/use (first $3,000)..........
.5%
30. State and Local tax- non motor fuel sales/use (over $3,000)..........
3%
31. Pre-Paid Local sales /use tax-on road motor fuel (if applicable)....
3%
32. State and Local tax-off road motor fuel sales/use (if applicable).....
(Record on Part A, Line 10)
TOTAL VENDOR’S COMPENSATION
33.
Bad Debt Reporting
34. Bad Debt Write-Off..................................................................................................
.
35. Bad Debt Recovered...............................................................................................
.
Part C Certification and Signature
Part
Certification and Signature
I certify that this return, including any accompanying schedules or statements, has been examined by me and is to the best of my knowledge and
belief a true and complete return made in good faith for the period stated. This_____________ day of ___________________________
,
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Return prepared by:
Phone Number
Title
Email Address
Signature
This return must be filed and paid by the 20th of the month following the period for which the tax is due in order to avoid loss of vendor’s
compensation and the application of penalty and interest. Businesses must file a timely return for each period even though no tax is due.
Do not remit cash in the mail.
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