Form Att-29 - Monthly Report Of Malt Beverage Shipments Into The State Of Georgia

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ATT-29 (Rev. 1/13)
Due by the 15th of each
month following month in
which shipments were
Georgia Department of Revenue
made
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail:
ATDIV@dor.ga.gov
MONTHLY REPORT OF MALT BEVERAGE SHIPMENTS INTO THE STATE OF GEORGIA
Submit online at
https://gtc.dor.ga.gov
Report for _______________________
REPORT BY
LICENSE NO.
STREET ADDRESS
CITY
STATE
ZIP CODE
IMPORTANT
Give below a grand total, in number of cases or kegs according to packing and size container of all malt
beverage shipments to distributions located in the State of Georgia as reflected on Schedules of Shipments.
SIZE OF
SIZE OF
NUMBER OF CASES
NUMBER OF CASES
CASES OR
CASES OR
OR KEGS
OR KEGS
KEGS
KEGS
(H) ______________
oz. Cases
(A) ______________
48/7
oz. Cases
24/8
oz. Cases
(B) ______________
36/8
(I) ______________
12/12
oz. Cases
oz. Cases
(C) ______________
24/12
(J) ______________
1/4
bbl. kegs
(D) ______________
24/16
(K) ______________
1/2
bbl. kegs
oz. Cases
(E) ______________
12/32
(L) ______________
____
Cases
oz. Cases
(F) ______________
24/7
oz. Cases
______________
____
________
______________
____
________
_____________
____
________
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 materials are true,
correct and complete to the best of my knowledge and belief, and are filed in accordance with the law.
__________________________________________
______________________
____________
TITLE
DATE
SIGNATURE OF OWNER, PARTNER OR OFFICER

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