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This report must be filed and the tax paid by the 10th day of the month following the month in which the wine was sold under the Lumpkin County Alcoholic Beverage Ordinance in order to avoid violation penalties. If the tax is not filed and the tax is not paid by the 10th of the month there is a 10% penalty. There will also be a $25.00 non-filing fee for every month the tax is not filed and paid.
Multiply Line 1 by $0.22 and enter that amount.
If you are filing after the 10th day of the month, multiply Line 2 by 10% and enter amount.
If this report is for a month not previously filed, add $25 for every month not filed.
Statement: I do hereby declare under penalty of law that the information contained in this report is true and accurate to the best of my knowledge. Further, by checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
A print and submit function is enabled on this form. To pay by check, print your form. To pay by credit card, please close the form after printing for your records and you will be automatically directed to the payment portal.
This field is not part of the form submission.
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