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Monthly Report Of Malt Beverage Shipments Into 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 Malt Beverage Shipments Into State Of Georgia, ATT-29, Georgia Statewide, Department Of Revenue
Page 1
ATT-29 (Rev 8/12)
Due by the 15th of each
month following month in
which shipments were
made
Georgia Department of Revenue
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail: ATDIV@dor.ga.gov
MONTHLY REPORT OF MALT BEVERAGE SHIPMENTS INTO THE STATE OF GEORGIA
Submit online at https://gtc.dor.ga.gov
Report for _______________________
REPORT BY
LICENSE NO.
STREET ADDRESS
CITY
STATE
ZIP CODE
IMPORTANT
Give below a grand total, in number of cases or kegs according to packing and size container of all malt
beverage shipments to distributions located in the State of Georgia as reflected on Schedules of Shipments.
(H) ______________
24/8
SIZE OF
CASES OR
KEGS
oz. Cases
(A) ______________
48/7
SIZE OF
CASES OR
KEGS
oz. Cases
(B) ______________
36/8
oz. Cases
(I) ______________
12/12
oz. Cases
(C) ______________
24/12
oz. Cases
(J) ______________
1/4
bbl. kegs
(D) ______________
24/16
oz. Cases
(K) ______________
1/2
bbl. kegs
(E) ______________
12/32
oz. Cases
(L) ______________
____
Cases
(F) ______________
24/7
oz. Cases
______________
____
________
______________
____
________
_____________
____
________
NUMBER OF CASES
OR KEGS
NUMBER OF CASES
OR KEGS
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 materials 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
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Page 2
ATT-29 (Rev. 8/12)
Georgia Department of Revenue
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail: ATDIV@dor.ga.gov
BREWERS SCHEDULE OF MALT BEVERAGE SHIPMENTS TO EACH DISTRIBUTOR
LOCATED IN THE STATE OF GEORGIA FOR ____________________
SHIPPED TO (NAME OF DISTRIBUTOR)
SHIPPED TO (CITY OF DISTRIBUTOR)
SHIPPED BY (NAME OF BREWERY)
SHIPPED BY ( CITY OF BREWERY)
PAGE ___________
OF ___________
INSTRUCTIONS:
(1) Complete a separate page for each Distributor in the State of Georgia to whom Malt shipped during the
calendar month covered by this report.
(2) List each invoice of shipment separately.
(3) Copies of all Credit Memorandums issued to Georgia Distributors must be attached to Individual Distributor’s
Schedule of Shipments. Each Credit Memorandum must have written thereon the reason for its issuance.
INVOICE
DATE
MM/DD/YYYY
INVOICE
NUMBER
(A)
(CASES)
48/7
(B)
(CASES)
36/8
(C)
(CASES)
24/12
(D)
(CASES)
24/14
(E)
(CASES)
24/16
(F)
(CASES)
12/32
Distributor’s Totals
American LegalNet, Inc.
www.FormsWorkFlow.com
Page 3
ATT-29 (Rev. 8/12)
Georgia Department of Revenue
Alcohol and Tobacco Division
Telephone: (404) 417-4900
E-mail: ATDIV@dor.ga.gov
BREWERS SCHEDULE OF MALT BEVERAGE SHIPMENTS TO EACH DISTRIBUTOR
LOCATED IN THE STATE OF GEORGIA FOR ____________________
SHIPPED TO (NAME OF DISTRIBUTOR)
SHIPPED TO (CITY OF DISTRIBUTOR)
SHIPPED BY (NAME OF BREWERY)
SHIPPED BY ( CITY OF BREWERY)
INVOICE
DATE
MM/DD/YYYY
INVOICE
NUMBER
(G)
(CASES)
24/7
(H)
(CASES)
24/8
(I)
(CASES)
12/12
(J)
(CASES)
¼ bbl.
PAGE ___________
OF ___________
(K)
(CASES)
½ bbl.
(L)
(CASES)
Distributor’s Totals
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