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Carriers Monthly Report Of Alcoholic Beverage Shipments Delivered In State Of Georgia ATT-148 - Georgia
| Carriers Monthly Report Of Alcoholic Beverage Shipments Delivered In State Of Georgia Form. This is a Georgia form and can be used in Alcohol And Tobacco Division Department Of Revenue Statewide . |
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ATT-148 (REV 3/03) Department of Revenue Alcohol & Tobacco Division Audit and Regulatory Section P.O. Box 49728 Atlanta, GA 30359 Telephone: (404) 417-4870 Fax: (404) 417-4871 CARRIERS MONTHLY REPORT OF ALCOHOLIC BEVERAGE SHIPMENTS DELIVERED IN THE STATE OF GEORGIA Affidavit for the Month of ______________________________ NAME OF CARRIER STREET ADDRESS CITY STATE ZIP CODE 20_____ IMPORTANT INSTRUCTIONS THIS AFFIDAVIT MUST BE FILED WITH THE GEORGIA DEPARTMENT OF REVENUE ON OR BEFORE THE 15TH OF EACH CALENDAR MONTH, COVERING ALL ALCOHOLIC BEVERAGE SHIPMENT DELIVERED IN THE STATE OF GEORGIA DURING THE PRECEDING CALENDAR MONTH. THIS AFFIDAVIT MUST BE ACCOMPANIED BY COPIES OF ALL BILLS OF LADING FOR THESE SHIPMENTS. AFFIDAVIT BEFORE ME, AN OFFICER AUTHORIZED BY LAW TO ADMINISTER OATHS, PERSONALLY APPEARED AN AUTHORIZED AGENT OF THE ABOVE NAMED BUSINESS, WHO FIRST BEING DULY SWORN DEPOSES AND SAYS THAT THE ATTACHED COPIES OF BILLS OF LADING ARE TRUE AND CORRECT COPIES OF ALL BILLS OF LADING COVERING ALL DELIVERIES OF ALCOHOLIC BEVERAGES IN THE STATE OF GEORGIA MADE DURING THE PRECEDING MONTH, AND ARE SUBMITTED IN ACCORDANCE WITH GEORGIA ALCOHOLIC BEVERAGE CODE. SUBSCRIBED AND SWORN TO BEFORE ME THIS ______ DAY OF ___________________, _________ SIGNED___________________________________ Authorized Agent ________________________________________________ Notary Public An Equal Opportunity Employer American LegalNet, Inc. www.FormsWorkflow.com
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