Form Att-70-A - Liquor Wholesalers Summary Of Total Distilled Spirits Sales To Retail Dealers Within Each County

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ATT-70-A (Rev 12/12)
Georgia Department of Revenue
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail:
ATDIV@dor.ga.gov
LIQUOR WHOLESALERS SUMMARY OF TOTAL DISTILLED SPIRITS SALES TO
RETAIL DEALERS WITHIN EACH COUNTY
Submit online at
https://gtc.dor.ga.gov
THIS REPORT IS FILED
WHOLESALE DISTRIBUTOR
CITY
STATE LICENSE NO.
FOR
TOTAL RETAIL DEALERS SOLD
TOTAL NO. OF LITERS SOLD
TOTAL NET VALUE OF SALES
SHIPMENTS
Value Gross Sales
For
REPORT IN LITERS
For
For
COUNTY
Value Gross Sales To
COUNTY NAME
To Retailers After
Dept.
Dept.
Dept.
NUMBER
Retailers Before Any
Any/All Discount
LITERS
HUND.
Use
Use
Use
Discount
(Net)
GRAND TOTALS……………
NOTE: In converting gallons to liters use the conversion factor .264 and point off to nearest hundred of a liter
(Example 100 gallons÷.264 =378.79 liters).
I hereby certify, under penalty of law, that this is a true and correct report of all distilled spirits sales to licensees
during the calendar month shown above.
(Signed) ___________________________________ (Title) __________________________ (Date) _______________
(Owner, Officer or Licensee)

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