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Drink Excise Form

Drink Excise Form

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Retain one copy. Failure to submit report shall result in suspension and/or revocation of license. A. INVENTORY REPORTING LIQUOR ONLY (THIS SECTION MUST BE COMPLETED) List inventory purchases from licensed wholesaler for monthly period reported. B. EXCISE TAX REPORTING 1. County Liquor License No.__________ 2. Gross Liquor the Drink Sales 1. Atl. Wholesale Wine liters. 2. Empire Distributors liters. 3. 3. General Wholesale liters. 4. Georgia Crown Dist. liters. 5. National...
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