Form Att-131 - Monthly Excise Tax Report Of Distilled Spirits, Malt Beverages And Wines Distributed Or Sold In Or Over The State Of Georgia By Airlines And Railway Passenger Carriers

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ATT – 131 (6/05)
GEORGIA DEPARTMENT OF REVENUE
ALCOHOL AND TOBACCO DIVISION
1800 CENTURY CENTER BLVD., N.E.
ATLANTA, GEORGIA 30345
MONTHLY EXCISE TAX REPORT OF DISTILLED SPIRITS, MALT BEVERAGES AND WINES DISTRIBUTED OR
SOLD IN OR OVER THE STATE OF GEORGIA BY AIRLINES AND RAILWAY PASSENGER CARRIERS
For the month of
, 20
Clear Form
Print Form
NAME OF CARRIER
GEORGIA LICENSE NO.
STREET ADDRESS
CITY
STATE
ZIP CODE
INSTRUCTIONS
th
This report must be filed with the Georgia Department of Revenue on or before the 15
of each calendar month covering all
distilled spirits, malt beverages and wines distributed or sold in or over the State of Georgia during the preceding calendar
month. This report also should be signed by an authorized agent of the company, notarized and mailed to: P.O. BOX 49728,
ATLANTA, GA 30359.
WINES
DISTILLED
MALT
COMPUTATION OF TAX
(REPORT IN LITERS)
SPIRITS
BEVERAGES
14% or less Alc.
Over 14% Alc.
(Report in Liters)
(Report in Gallons)
1.
Total purchased for use within total system for the month
2.
Georgia Ratio allocation (Percentage)
Total distributed or sold in or over the State of Georgia during the month
0.00
0.00
0.00
0.00
3.
(Line 2 x Line 1)
4.
$.40 per Liter
$.67 per Liter
$1.00 per Liter
$.48perGallon
Georgia excise tax rate
0.00
0.00
0.00
0.00
5.
$
$
$
$
Tax due by each type (Line 3 x applicable tax rate shown on line 4)
$
6.
Total excise tax due (Totals of all columns in Line 5)
0.00
(Remit herewith)
AFFIDAVIT
Before me, an officer authorized by law to administer oaths, personally appeared
,
an authorized agent of the above named business, who, first being duly sworn, deposes and says that this report is true and correct to the best of his
knowledge and belief, and is filed in accordance with the law.
Subscribed and sworn to before me this
SIGNED
day of
,
20
(Authorized Agent)
NOTARY PUBLIC

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