Coweta County, GA · Coweta County
Mixed Drink Report
Coweta County licensees use this monthly report to report distilled spirits by-the-drink sales and remit the related county excise tax.
At a glance
- Issued by
- City of Coweta County · Coweta County, Coweta County, Georgia
- Notarization
- Not required: file this form without a notary.
- Official source
- coweta.ga.us
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
The Mixed Drink Report records a licensee’s gross receipts from distilled spirits by-the-drink sales, the county excise tax collected, and the total tax remitted. It covers the preceding month, and payment must be received by the 20th day of each month. The report asks for business and licensee details, the month ending, tax calculations, and signatures certifying the information and recordkeeping.
Who needs it
Coweta County licensees reporting distilled spirits by-the-drink sales and remitting the related county excise tax need this form.
How to submit it
Send the report to 22 East Broad Street, Newnan, GA 30263, or fax it to 770-252-6407. Payment must be received by the 20th day of each month for the preceding month's report.
About notarization
This document is signed without a notary; it includes a sworn certification, but no notarized attachment or related step is specified.
How to submit this form
- 1
Download the Report
Download the Coweta County Mixed Drink Report PDF.
- 2
Complete the Report
Enter business and licensee information, the month ending, sales receipts, and the requested tax calculations.
- 3
Review and Sign
Review the sworn certification and recordkeeping statement, then provide the requested signatures and dates.
- 4
Submit the Report
Send it to 22 East Broad Street, Newnan, GA 30263, or fax it to 770-252-6407; payment is due by the 20th.
Frequently asked questions
- Do I need a notary for the Mixed Drink Report?
- No. The report is signed without a notary, though it includes a sworn certification. No notarized attachment or related step is specified.
- How do I submit the Mixed Drink Report?
- Send it to 22 East Broad Street, Newnan, GA 30263, or fax it to 770-252-6407. Payment must be received by the 20th for the preceding month's report.
- What information does the Mixed Drink Report request?
- It asks for business and licensee details, the month ending, gross receipts from distilled spirits by-the-drink sales, excise tax calculations, and signatures.
- When is payment due?
- The document states that payment must be received by the 20th day of each month for the preceding month's report.