Georgia > Statewide > Department Of Revenue > Alcohol And Tobacco Division
Schedule Of Cigarettes Returned To Manufacturer 142-SCHEDULE B - Georgia
| Schedule Of Cigarettes Returned To Manufacturer Form. This is a Georgia form and can be used in Alcohol And Tobacco Division Department Of Revenue Statewide . |
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ATT-142 (REV. 2/11) SCHEDULE B GEORGIA DEPARTMENT OF REVENUE ALCOHOL & TOBACCO DIVISION SCHEDULE OF CIGARETTES RETURNED TO MANUFACTURER LICENSEE CITY REPORT FOR THE MONTH OF: INSTRUCTIONS: Each credit memorandum issued by manufacturer for cigarettes returned to them is to be reported separately, and must be supported by attaching hereto a legible copy of credit memorandum and affidavit of cigarettes returned with States tax stamps affixed. LINE NO. CREDIT MEMO NUMBER CREDIT MEMO NUMBER DATE SHIPPED SHIPPED TO NAME ADDRESS NUMBER BY PACKS OF: 20's 25's 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 PAGE TOTALS 24 GRAND TOTAL (Enter Grand Total on Line 4 of Summary page) American LegalNet, Inc. www.FormsWorkFlow.com
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