LIQUOR (DISTILLED SPIRITS) BY THE DRINK EXCISE TAX RETURN
Business Name: ________________________________ Month of Return___________________________
Business Address: ______________________________ Phone #__________________________________
Business License #______________________________ Email Address: ____________________________
This tax return must be filed and paid by the 20th of the month following the period for which the tax is due to avoid
penalty and interest. Failure to pay the tax by the due date will result in the imposition of penalty and interest (see line 5 &
6). If the 20th is a Saturday, Sunday or Federal Holiday the return needs to be filed and paid, or postmarked, by the
following business day. A return must be filed even if no tax is due. Please do not send cash by mail.
I declare under penalties prescribed that the information provided in this document are true and correct to the
best of my knowledge.
Signature:______________________________________ Title: ___________________________________
Print Name: __________________________________ Date: ___________________________________
City of Pooler
100 SW Highway 80
Pooler, Georgia
31322
Date received or
postmarked ________
Monthly Collection Totals
1. Gross sales of liquor by the drink. $
2. Total tax (3% of line 1). =
3. Deduct the collection fee (vendor credit) of 3% if line 2 is less than $3000 -
and .5% of line 2 if the amount is in excess of $3000.
Taxes Due
4. Net taxable charges due = $
Late Assestments
5. Penalty- If return is postmarked after the 20th of the month in which +
payment is due, add 10% of Line 2 or $100.00, whichever is greater
if the failure is not more than 30 days.
6. Interest -Add 1% of total tax due (line 4) for each month, or fraction +
thereof, that the tax return is delinquent in addition to penalty.
Total amount of tax reported and remitted to the City of Pooler = $
