Form Att-73 - Wholesaler'S Monthly Report Of "Nonparticipating Manufacturer" Cigarettes Received Or Shipped Into Georgia

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ATT-73 (Rev. 1/13)
TO BE FILED BY
Georgia Department of Revenue
THE
Alcohol and Tobacco Division
10TH OF EACH
Telephone: (404) 417-4900
MONTH
E-mail:
ATDIV@dor.ga.gov
WHOLESALER'S MONTHLY REPORT OF "NONPARTICIPATING MANUFACTURER" CIGARETTES
RECEIVED OR SHIPPED INTO GEORGIA
WHOLESALE DISTRIBUTOR
CITY
STATE LICENSE NO.
FOR CALENDAR MONTH/YEAR
Select One
INSTRUCTIONS:
O.C.G.A 10-13-12 effective 4/28/99 directs this Department to ascertain the number of units sold (the number of individual cigarettes
sold) in the State each year by "Nonparticipating Manufacturers" (manufacturers and importers of cigarettes who did not sign the
Master Settlement Agreement entered into on November 23, 1998 with this State). A list of "Participating Manufacturers" is provided
below. The date in parenthesis that follows some of those listed indicates when they became participating manufacturers. These were
not on our original Form ATT-73. A complete list of MSA Participating Manufacturers can be found at the following web site:
If you receive cigarettes from a manufacturer or an importer not on this list, you are required to file Form ATT-73 by the 10th of the
month following the month which the report is filed. List each "Nonparticipating Manufacturer" once and indicate the total number of
individual cigarettes received (In-State Wholesalers) or the total number shipped into Georgia (Out-of-State Wholesalers) during the
month. If you receive these cigarettes from another wholesaler who has already affixed the Georgia excise tax stamp, you are not to
list them on this report (the wholesaler who stamped these cigarettes should list them on their report). If you do not receive/ship any
cigarettes during the month from "Nonparticipating Manufacturers", this report must be filed with "NONE" reported. Please submit
online at https://gtc.dor.ga.gov.
A copy of all invoices covering these shipments should be attached to this report.
Number of
Ounces of Roll-
Nonparticipating
Brand Name
Full Address
Country
Individual
Your-Own
Manufacturer's Name
Cigarettes
Tobacco
Alliance Tobacco Corp. (4/27/2000)
Lane Limited
Premier Marketing, Inc.
Brown & Williamson Tobacco Co
Ligget Group, Inc.
R. J. Reynolds Tobacco Co.
Commonwealth Brands, Inc.
Lignum-2, Inc.
Santa Fe Natural Tobacco Co, Inc.
Lorillard Tobacco Co.
Sherman 1400 Broadway N.Y.C., Inc.
Cutting Edge Enterprises, Inc (12/22/2000)
LTD Corporation
Societe Nationale d'Exploitation Industrielle des
Dhanraj International, Inc.
Mac Baren Tobacco Co. A/S (4/27/2000)
Tabacs et Allumettes (Seita)
House of Prince A/S (8/19/1999)
Imperial Tobacco Limited/ ITL (USA ) Limited
Monte Paz (Compania Industrial de Tabacos Monte
The Medallion Company, Inc.
Japan Tobacco International U.S.A., Inc.
Paz S.A. (11/30/2000)
Tobacco Exporters International (USA) Ltd. (TEl)
King Maker Marketing
P.T. Djarum
Tobacco & Candy International, Inc. for Coronado
Landmark Corporation (4/27/2000)
Peter Stokkebye International A/S (6/00/1999)
Brand only (9/5/2000)
Philip Morris, Inc.
Top Tobacco, L.P.
Planta Tabax-manufaktur Gmbh & Co. (4/27/2000)

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