Form St-3 - Sales And Use Tax Return - 2013 Page 4

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Page 4
ST-3
Form
(Rev. 10/12)
Georgia Department of Revenue
Sales and Use Tax Return
P.O. Box 105408
Atlanta, Georgia 30348-5408
Version 1
2013
Part D
Vendor’s Compensation Calculation
TAX
TAX AMOUNTS
RATE
VENDOR COMPENSATION
3%
1 .
State and Local tax-non motor fuel sales/use (first $3,000)..........
.5%
2 . State and Local tax-non motor fuel sales/use (over $3,000)..........
3%
3.
Pre-Paid Local sales/use tax-on road motor fuel (if applicable)........
3%
4. State and Local tax-off road motor fuel sales/use (if applicable).....
(Record on Part A, Line 11)
TOTAL VENDOR’S COMPENSATION
5 .
Part E
Bad Debt Reporting
1 .
..
Bad Debt Write-Off..............................................................................................................
.
2.
Bad Debt Recovered ..........................................................................................................
Part F 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 ___________________________ , ________.
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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