PRINT
CLEAR
FORM Rev. (04.14.16)
State of Georgia
Lynnette T. Riley
Staci Guest
Department of Revenue
Commissioner
Chief Tax Officer
314 East Main Street
Suite 150
Cartersville, GA 30120
(770) 387-4060
MISCELLANEOUS SALES EVENT
INSTRUCTIONS:
1)
Complete seller’s information.
2)
Complete event information.
3)
Report the amount of taxable sales. If no taxable sales are made, a zero should be entered on this line.
4)
Collect Georgia sales tax at the rate of the county in which the event is held. Report the amount of taxable sales made and
sales tax collected.
5)
Pay to the GEORGIA DEPARTMENT OF REVENUE, by check or money order, the amount of sales tax collected.
DO NOT SEND CASH.
6)
If you are registered with the STATE OF GEORGIA for SALES AND USE TAX and will include these sales on your regular return,
please provide your sales tax number: __ __ __ -- __ __ __ __ __ __ .
1. SELLER’S NAME
SELLER’S ADDRESS
SELLER’S TELEPHONE NUMBER
SELLER’S E-MAIL ADDRESS
2. NAME OF EVENT (IF APPLICABLE)
DATE OF EVENT
COUNTY OF EVENT
TAX RATE OF COUNTY
OF EVENT. Sales tax rate
charts are available on the
Department’s website,
3. TAXABLE SALES
4. TAX COLLECTED
5. AT THE CLOSE OF THE EVENT, THIS FORM AND ALL TAXES COLLECTED MUST BE:
[
] Returned to the Revenue Agent on duty.
[
] Mailed within 3 days to the address below.
Should you have any questions, please contact:
Georgia Department of Revenue
Cartersville
314 East Main Street
Suite 150
Cartersville, GA 30120
___________________________
Authorized Agent
for State Revenue Commissioner
TELEPHONE NUMBER:
(770) 387-4060
DATE: