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Cigar Shipments Into State Of Georgia By Manufacturers Importers And Brokers ATT-124 - Georgia
| Cigar Shipments Into State Of Georgia By Manufacturers Importers And Brokers Form. This is a Georgia form and can be used in Alcohol And Tobacco Division Department Of Revenue Statewide . |
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ATT-124 REV. 01/11) GEORGIA DEPARTMENT OF REVENUE PROCESSING CENTER P.O. BOX 740395 ATLANTA, GEORGIA 30374-0395 NAME OF DISTRIBUTOR ADDRESS (Street) CIGARS, LITTLE CIGARS, AND LOOSE AND SMOKELESS TOBACCO SHIPMENTS INTO GEORGIA BY MANUFACTURERS, IMPORTERS AND BROKERS STATE LICENSE NO. CITY RETURN TO BE FILED TH ON OR BEFORE THE10 DAY OF THE FOLLOWING MONTH FOR WHICH THE REPORT IS FILED RETURN FOR THE MONTH AND YEAR OF STATE ZIP CODE SCHEDULE OF CIGARS, LITTLE CIGARS, AND LOOSE AND SMOKELESS TOBACCO SALES TO GEORGIA CUSTOMERS LINE # 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 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 schedules, are true, correct and complete to the best of my knowledge and belief, and are filed in accordance with the law. SIGNATURE OF OWNER, PARTNER OR OFFICER TITLE DATE American LegalNet, Inc. www.FormsWorkFlow.com INVOICE DATE INVOICE NUMBER SHIPPED TO NAME CITY LOOSE TOBACCO (Wholesale Cost Price) SMOKELESS (Wholesale Cost Price) LARGE CIGARS (Wholesale Cost Price) LITTLE CIGARS (Quantity) $ $ $ SCHEDULE OF CIGARS, LITTLE CIGARS, AND LOOSE AND SMOKELESS TOBACCO SHIPMENTS INTO GEORGIA (Continued) LINE # 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. INVOICE DATE INVOICE NUMBER SOLD TO NAME CITY LOOSE TOBACCO (Wholesale Cost Price) SMOKELESS (Wholesale Cost Price) LARGE CIGARS (Wholesale Cost Price) Page 2 LITTLE CIGARS (Quantity) $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com SCHEDULE OF CIGARS, LITTLE CIGARS, AND LOOSE AND SMOKELESS TOBACCO SHIPMENTS INTO GEORGIA (Continued) Page 3 INSTRUCTIONS 1. Every Cigar, Little Cigar and Loose and Smokeless Tobacco Manufacturer, Importer and Broker must complete a Cigar, Little Cigar and Loose and Smokeless Tobacco shipment report each month whether or not there are any shipments to report. 2. Mailing - Sign and date the original report and mail to: Georgia Department of Revenue, Processing Center th P.O. BOX 740395, Atlanta, Georgia 30374-0395. Dis tributors shall file this report on or before the 10 day of the following month for which the report is filed. 3. In accordance with Revenue Regulation 560-8-3-.06(5) the amount of tax due shall be computed on the actual sale or consumption of the tobacco product within the State of Georgia and shall be payable when the tobacco product leaves the control of the distributor for sale or consumption of the tobacco product within the State of Georgia. NOTE: ALL ORIGINAL INVOICES SHALL BE RETAINED ON PREMISE FOR 3 YEARS FROM THE DATE OF REPORT IN ACCORDANCE WITH REVENUE REGULATION 560-8-1-.06. SUCH INFORMATION SHALL BE MADE AVAILABLE TO THE DEPARTMENT ON DEMAND AND AT NO COST INCLUDING, BUT NOT LIMITED TO COPIES, POSTAGE OR ANY RELATED ADMINISTRATIVE COSTS. IF SUCH INFORMATION IS REQUESTED BY THE DEPARTMENT THE SAME MAY BE SUBMITTED ELECTRONICALLY. American LegalNet, Inc. www.FormsWorkFlow.com
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