Form Att-160 - Wholesalers Wine Report Of Inventory
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ATT-160 (Rev. 1/13)
DUE TO BE FILED BY 10
GEORGIA DEPARTMENT OF REVENUE
DAYS AFTER DUE DATE
ALCOHOL & TOBACCO DIVISION
TELEPHONE: (404) 417-4900
E-MAIL:
ATDIV@DOR.GA.GOV
WHOLESALERS WINE REPORT OF INVENTORY
Submit online at
https://gtc.dor.ga.gov
NAME OF WHOLESALER
STREET
CITY
STATE
ZIP CODE
INVENTORY OF WINE
IN THE POSSESSION OF THE ABOVE NAMED
WHOLESALER AS OF THE CL0SE OF OPERATION ON JANUARY 31 AND JULY 31 EACH YEAR
TAX CATEGORY
REPORT IN LITERS
FOREIGN WINE 14% OR LESS
FOREIGN WINE OVER 14%
DOMESTIC WINE 14% OR LESS
DOMESTIC WINE OVER 14%
IMPORTANT
The inventory as reflected and recorded on this document will be used for the purposes of determining tax liability. Upon the signing of
this document by the wholesaler or its authorized agent, the wholesaler agrees and acknowledges that the inventory figures reflected
above shall be binding on the wholesaler for purposes of calculating the wholesaler's tax liability pursuant to O.C.G.A. § 3-6-50. It is
therefore imperative that you are in accord and agreement as to the accuracy of the inventory before affixing your signature to same.
The undersigned does hereby swear, subject to criminal penalties for false swearing, that a complete inventory has been conducted of
all wine on hand on date above given, and further swears that the inventory figures recorded above accurately reflect the inventory of
wine on hand on the date indicated above; and the undersigned hereby attests and affirms this report to be correct and accurate.
Sworn to and subscribed before me
this _____ day of ______________
SIGNED _________________________________
20_____.
(Signature of Officer, Partner, or
Owner of above named Company)
____________________________________
____________________________________
(Title)
Notary Public
My commission expires:
Signature: This report must be signed by the owner if a natural person, and in cases where the owner is a partnership by a partner thereof, and if a
corporation, by an officer thereof.
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