Liquor Pouring Tax

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DATE: ____________________
Liquor Pouring Tax
Statement for Month of
2011
_______________,
th
Taxes are due by the 20
of each month. 10% penalties are due if not received by this date.
Name of Business: ____________________________________
Business Address:_____________________________________
Total Sales: ________________________
X .03
Sub Total: _________________________
th
10% Penalty after 20
_____________________
Grand Total Due:____________________
Signature: ____________________________________________
If you have any questions, please call Terry Cowley at 770.592.6005
Please return THIS original form with your payment to: Terry Cowley
City of Woodstock Tax Dept., 12453 Highway 92, Woodstock, GA 30188

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