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Keg Registration Identification Form - Georgia
| Keg Registration Identification Form Form. This is a Georgia form and can be used in Alcohol And Tobacco Division Department Of Revenue Statewide . |
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Georgia Department of Revenue Alcohol and Tobacco Division Fill in blanks Retain the original (licensee) KEG REGISTRATION IDENTIFICATION FORM IDENTIFICATION # Name of Purchaser (Print) Type of ID shown ID# Address City State Location where keg will be consumed Address City State DOB Zip Date(s) Zip I am at least 21 years of age and understand that alcoholic beverages purchased under this receipt can only be consumed at the address and on the dates listed above, that the purchasing of alcoholic beverages for a person under 21 years of age and furnishing alcoholic beverages to a person under 21 years of age are violations of O.C.G.A. 3-3-23 and that such violations may result in civil liability or criminal prosecution, or both. I further acknowledge that removal or obliteration of the keg registration label is a violation of O.C.G.A. 3-5-5 and that such violations may result in criminal prosecution as set forth in O.C.G.A. 3-3-9, and will result in the container deposit made at the time of purchase, not being returned. Signature of Purchaser (Date) A total of keg(s) of malt beverage was/were sold to the above individual In the following size(s): by: (Name of Seller) On: (Date of Sale) Trade name of business State License number City Date Returned Keg registration fee: Address State . The Registration label was Zip was not intact. FOR THE PURCHASE OF MORE THAN ONE KEG, RECORD IDENTIFICATION NUMBERS BELOW KEG ID NUMBER KEG ID NUMBER KEG ID NUMBER KEG ID NUMBER American LegalNet, Inc. www.FormsWorkflow.com
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