Form Att-7 Sp - Georgia Special Order Shipping License Monthly Excise Tax Return

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ATT-7 SP (08/08)
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RETURN TO BE FILED ON OR BEFORE THE
15
TH
DAY OF THE FOLLOWING MONTH
SUBMIT REPORT AND REMITTANCE TO:
FOR WHICH THE REPORT IS FILED.
GEORGIA DEPARTMENT OF REVENUE
ALCOHOL & TOBACCO DIVISION
GEORGIA SPECIAL ORDER SHIPPING LICENSE MONTHLY EXCISE TAX RETURN
P.O. BOX 49728
ATLANTA, GA 30359
NAME OF WINERY
LICENSE NO.
FOR CALENDAR MONTH/YEAR OF:
ADDRESS
CITY/STATE
ZIP CODE
REPORT IN LITERS
SALES TO GEORGIA CONSUMERS DURING THE CALENDAR MONTH
WINE PRODUCED OUTSIDE GEORGIA
WINE PRODUCED INSIDE GEORGIA
INVOICE DATE
INVOICE NO.
FULL NAME AND ADDRESS OF CONSUMER
14% OR LESS
OVER 14%
14% OR LESS
OVER 14%
TOTAL LITERS BY CLASS
$ .40
$ .67
$ .11
$ .27
WINE TAX RATE PER LITER BY CLASS
GROSS TAX DUE EACH CLASS OF WINE
GROSS TAX DUE (TOTAL OF ALL APPLICABLE COLUMNS)
AFFIDAVIT
I CERTIFY UNDER THE PENALTIES FOR FILING FALSE RETURNS, THAT I HAVE PERSONAL KNOWLEDGE AND UNDERSTANDING OF STATEMENTS MADE IN THIS RETURN AND
THAT THE FIGURES PRESENTED HEREIN, INCLUDING ACCOMPANYING SCHEDULES, ARE TRUE, CORRECT, AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF,
AND ARE FILED IN ACCORDANCE WITH THE LAW.
SIGNED
TITLE
DATE
(Officer, Partner or Owner)
ATTACH A LEGIBLE COPY OF ALL INVOICES TO THE BACK OF THIS RETURN

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