When is the report due?

The form says reports and payments are due by the 20th of each month and must be received by the county office by that date. A postmark does not qualify.

What information does the report request?

It requests business and license details, the month covered, sales and tax calculations, any applicable penalty, and the signer’s date, signature, and title.

Lumpkin County, GA · Lumpkin County

No notary required

Per Drink Excise Tax Report Form (On Distilled Spirits)

Lumpkin County businesses use this form to report monthly excise tax collected on distilled spirits and calculate the amount due to the county.

At a glance

Issued by: City of Lumpkin County · Lumpkin County, Lumpkin County, Georgia
Notarization: Not required: file this form without a notary.
Official source: lumpkincounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This report form records a business’s gross sales proceeds, allowable deduction, net taxable proceeds, tax due, and any late-payment penalty for distilled spirits. Businesses submit a report and payment for each month covered; the form says reports and payments are due by the 20th and must be received by the county office. It requests business and license details, the reporting month, a signature, and a date.

Who needs it

A business reporting excise tax collected on distilled spirits in Lumpkin County should complete and submit this form with its payment.

How to submit it

Send the report and a check payable to the Lumpkin County Board of Commissioners to the County Clerk, 99 Courthouse Hill, Suite H, Dahlonega, GA 30533. The report must be received by the 20th; a postmark does not qualify.

About notarization

This report is signed and dated without a notary; the signer declares under penalty of law that the information is true and accurate.

How to submit this form

1
Download the Form
Download the Per Drink Excise Tax Report Form for distilled spirits.
2
Complete the Report
Enter the business and license details, reporting month, sales figures, deductions, and tax calculations.
3
Sign and Date
Sign and date the report and provide the signer’s title.
4
Send the Report and Payment
Send the report with a check payable to the Lumpkin County Board of Commissioners to the County Clerk at the address on the form.

Frequently asked questions

Do I need a notary for the Per Drink Excise Tax Report Form?: No. The report is signed and dated without a notary. The signer declares under penalty of law that the information is true and accurate.
How do I submit the Per Drink Excise Tax Report Form?: Send the report and a check payable to the Lumpkin County Board of Commissioners to the County Clerk at 99 Courthouse Hill, Suite H, Dahlonega, GA 30533.
When is the report due?: The form says reports and payments are due by the 20th of each month and must be received by the county office by that date. A postmark does not qualify.
What information does the report request?: It requests business and license details, the month covered, sales and tax calculations, any applicable penalty, and the signer’s date, signature, and title.

Need something notarized?

This Per Drink Excise Tax Report Form (On Distilled Spirits) doesn’t need a notary, but if you have another Lumpkin County form that does, a commissioned online notary can help.