Monthly Report Of Cigarettes Sold In The State Of Georgia Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Monthly Report Of Cigarettes Sold In The State Of Georgia Form. This is a Georgia form and can be use in Department Of Revenue Statewide.
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Tags: Monthly Report Of Cigarettes Sold In The State Of Georgia, ATT-159, Georgia Statewide, Department Of Revenue
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SCHEDULE A
LIST OF CIGARETTE SALES IN THE STATE OF GEORGIA DURING THE MONTH
Page______ of _______ Pages
Name of Firm __________________
SALES
INVOICE
DATE
City of ___________________
State of _____________________
TAX VALUE
OF GEORGIA
STAMPS
SOLD TO
(Name and Complete Address)
SALES
INVOICE
NUMBER
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
TOTAL CIGARETTE SALES IN THE STATE OF GEORGIA DURING THE MONTH
ALL INVOICES OF CIGARETTE SALES LISTED ON SCHEDULE A MUST BE SUBMITTED ALONG WITH THIS REPORT.
SCHEDULE B
LIST OF GEORGIA CIGARETTE TAX STAMPS PURCHASED AND RECEIVED DURING THE MONTH
(List each cigarette tax stamp purchase separately)
DATE
STAMPS
ORDERED
1.
2.
3.
4.
5.
DATE
STAMPS
RECEIVED
STAMP
REQUISITION
NUMBER
DATE
STAMPS
ORDERED
GROSS TAX
VALUE OF
STAMPS
$
$
6.
7.
8.
9.
10.
DATE
STAMPS
RECEIVED
STAMP
REQUISITION
NUMBER
GROSS TAX
VALUE OF
STAMPS
$
GROSS TAX VALUE OF CIGARETTE STAMPS
PURCHASED AND RECEIVED
$
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