Account Information
Account Number
*
required
7 digits required
invalid acct #
Location Address
*
required
Business Name
*
required
New mailing address (if applicable)
Gross Liquor Sales
(excludes beer and wines sales)
SELECT MONTH ENDING
*
required
month ending error
Gross sales
(Enter actual amount; Annual maximum will be calculated on the next screen)
required
Is your business liquor package stores
*
YES
NO
Average ounces per drink poured
Average price per drink sold
Your Contact Information
Name
*
required
Title
*
required
Phone #
*
required
XXX-XXX-XXXX
Email Address
*
required
invalid
I certify that this return, including the accompanying schedules or statements, has been examined by me and is, to the best of my knowledge and belief, a true and complete return made in good faith for the period stated.
You must agree to the terms above or contact Business License at 770-794-5520
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