The City of Garden City, Georgia
100 Central Avenue, Garden City, Georgia 31405
Phone: 912.966.7777 Fax: 912.966.2735
LIQUOR BY THE DRINK MONTHLY EXCISE TAX RETURN
Business Name
________________________________________________________________________
Business Address
________________________________________________________________________
Georgia Sales Tax Number
________________________________________________________________________
Georgia Alcohol License Number ________________________________________________________________________
Report for the Month Of
______________________________
Year ___________________________________
THIS REPORT IS SUBJECT TO AUDIT (See Sec.6-169 of Ordinance)
1. Gross sales of liquor by the drink
$ _______
2. Tax (3% 0f line 1)
$ _______
3. Vendors credit (deduct 3% of first $3000 of the amount on line 2,
and 0.5% of amount in excess of $3000 on line 2, if not
delinquent)
$ _______
4. Tax due (line 2 less line 3)
$ _______
5. Penalty if delinquent (add 10% of line 2, but not less than $100)
$ _______
6. Interest if delinquent (add 1% of line 2 for each month or any
fraction of each month)
$ _______
7. Total amount due (Line 4 plus line 5 plus line 6)
$ _______
PAYMENT MUST BE RECEIVED IN THE REVENU DEPARTMENT
TH
BY THE 20
DAY OF THE MONTH FOR THE PRECEEDING MONTH
_________________________________________________________________________________________
I declare under penalties prescribed that the information provided in this return is True and Correct to the best of my knowledge and
belief.
Signed: _______________________________________Title: _______________________________________________
Date: _________________________________________Phone Number: ______________________________________
Return this form together with check for the amount shown on line 7 and payable to the City of Garden City Revenue
Department and mail to: City of Garden City, Revenue Department, 100 Central Avenue, Garden City, Georgia 31405
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