DeKalb County, GA · DeKalb County

No notary required

Energy Excise Tax Reporting Form

Businesses use this form to report taxable energy sales to manufacturers and calculate the excise tax due for a reported month.

At a glance

Issued by
City of DeKalb County · DeKalb County, DeKalb County, Georgia
Notarization
Not required: file this form without a notary.
Official source
dekalbcountyga.gov
Blank form
Download the PDF
Catalogued
Machine-readable
JSON record · about the forms index

What this form is

DeKalb County businesses use this form to report energy sales to manufacturers and calculate tax, any applicable penalty or interest, discounts, unpaid fees, and total payment. The completed form and payment are due by the 20th day of the month following the reported month. It asks for business and excise account details, reported sales and amounts, and the preparer’s certification.

Who needs it

Businesses reporting taxable energy sales to manufacturers must complete and file the form, even when no tax is due.

How to submit it

Email the form to [email protected], or mail it with payment to the Division of Business Licensing address shown on the form. The form also provides an online payment option.

About notarization

This document is signed without a notary; the preparer certifies the information by signing and dating the form.

How to submit this form

  1. 1

    Download the Form

    Download the Energy Excise Tax Reporting Form.

  2. 2

    Complete Every Section

    Enter the business and reporting details, taxable sales, tax calculations, and payment amounts. The form says all sections must be completed.

  3. 3

    Sign and Date

    Have the preparer print their name, sign, and date the certification.

  4. 4

    Send the Form and Payment

    Email the form or mail it with payment to the Division of Business Licensing address shown on the form.

Frequently asked questions

Do I need a notary for the Energy Excise Tax Reporting Form?
No. The form has no notary block. The preparer certifies the information by signing and dating the form.
How do I submit the Energy Excise Tax Reporting Form?
Email it to [email protected] or mail the form with payment to the Division of Business Licensing address printed on the form. Online payment is also available.
Who must file this form?
Businesses reporting taxable energy sales to manufacturers must complete and file the form, even if no tax is due.
When is the return and payment due?
The form says the return and payment for taxes collected during the reported month are due by the 20th day of the next month to avoid late payment penalty and interest charges.

Need something notarized?

This Energy Excise Tax Reporting Form doesn’t need a notary, but if you have another DeKalb County form that does, a commissioned online notary can help.