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Get and Sign Drink Excise Form
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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