Georgia > Statewide > Department Of Revenue > Alcohol And Tobacco Division

Additional Address Form CRF-003 - Georgia

Additional Address Form Form. This is a Georgia form and can be used in Alcohol And Tobacco Division Department Of Revenue Statewide .
 Fillable pdf Last Modified 3/18/2010
Get this form for FREE as a print-only pdf

CRF-003 REV. 5/05 GEORGIA DEPARTMENT OF REVENUE REGISTRATION & LICENSING UNIT P. O. BOX 49512 ATLANTA, GA 30359-1512 404-417-4490 TSD-sales-tax-lic@dor.ga.gov ADDITIONAL ADDRESS FORM (Complete Only If Necessary) (PLEASE PRINT OR TYPE) FOR OFFICE USE ONLY LEGAL BUSINESS NAME: ADDITIONAL MAILING ADDRESS (Please identify tax type(s) to be mailed to the address below.) Sales & Use Tobacco Withholding Amusement on to the Legal Business Name) A lc ohol Motor Fuel Distributor E-MAIL ADDRESS ADDRESSEE (C/O) (If di erent from or in additi N U MB E R A N D S T R E E T , P . O . B O X , R F D N O . CITY STATE ZIP COUNTY F A X N U MB E R () COUNTRY PHONE NUMBER () ADDITIONAL MAILING ADDRESS (Please identify tax type(s) to be mailed to the address below.) Sales & Use Tobacco Withholding Amusement on to the Legal Business Name) A lc ohol Motor Fuel Distributor E-MAIL ADDRESS F A X N U MB E R () C O UNT R Y P H O N E N U MB E R () ADDRESSEE (C/O) (If di erent from or in additi N U MB E R A N D S T R E E T , P . O . B O X , R F D N O . C IT Y S T AT E Z IP C O UNT Y ADDITIONAL MAILING ADDRESS (Please identify tax type(s) to be mailed to the address below.) Sales & Use Tobacco ADDRESSEE (C/O) (If di erent from or NUMBER AND STREET, P. O. BOX, RFD NO. CITY STATE ZIP Withholding Amusement in addition to the Legal Business Name) A lc ohol Motor Fuel Distributor COUNTY COUNTRY PHONE NUMBER () ADDITIONAL MAILING ADDRESS (Please identify tax type(s) to be mailed to the address below.) Sales & Use Tobacco Withholding Amusement on to the Legal Business Name) A lc ohol Motor Fuel Distributor E-MAIL ADDRESS ADDRESSEE (C/O) (If di erent from or in additi N U MB E R A N D S T R E E T , P . O . B O X , R F D N O . CITY STATE ZIP COUNTY F A X N U MB E R () COUNTRY PHONE NUMBER ( ) SIGNATURE SECTION I HAVE EXAMINED THIS FORM, AND TO THE BEST OF MY KNOWLEDGE IT IS TRUE AND CORRECT. Signature (MUST BE SIGNED BY OWNER, PARTNER, OR CORPORATE O Title FFICER AS LISTED IN THE RELATIONSHIP SECTION ABOVE.) Date American LegalNet, Inc. www.FormsWorkflow.com
Link/Embed this Document
URL
Embed


Popular Searches

  1. child support
  2. writ
  3. petition
  4. affidavit
  5. probate
  6. order to show cause
  7. motion to dismiss
  8. Notice of Appearance
  9. motion
  10. subpoena duces tecum

Bookmark and Share