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2. About Wholesalers

   Per Section 6-59 of the City Code of Ordinances:

   "Wholesaler or wholesale dealer means any person who sells alcoholic beverages to other wholesale dealers, to retail dealers, or to retail consumption dealers, who have completed all prescribed registration procedures in accordance with section 6-23.1 of this article."

   Per Section 6-23.1 of the City Code of Ordinances: 

   "Every person, corporation, or other business entity who conducts business as a wholesale dealer within the corporate limits of Lilburn – shall be required to register as a wholesale dealer."

4. Distributor's Name
6. Business Address
8. Street Address Line 1
10. Street Address Line 2
12. City
13. State
14. Zip Code
16. Business Email Address
17. Business Phone Number
19. DOR License Number
21. Mailing Address
23. Street Address Line 1
25. Street Address Line 2
27. City
28. State
29. Zip Code
31. Business Representative's Name
33. Representative's Email Address
34. Representative's Phone Number
36. What type of alcohol is being distributed? Check all that apply.

    1. Wine

    1. Beer

    1. Liquor
38. Terms & Conditions

    Per Section 6-22 of the City Code of Ordinances: 

    The tax imposed shall be computed and payable monthly. Each wholesale dealer or distributor selling, shipping, or delivering distilled spirits to any retail dealer in the city shall, as a condition to the privilege of conducting that business within the city:

    1. Keep and maintain true and correct records of all sales, shipments or deliveries of distilled spirits to each retail dealer in the city, such records to be preserved for a period of not less than one year and to be made available on request for the inspection of any duly authorized representative of the city.
    2. Collect from each retail dealer in the city at time of delivery of distilled spirits, the amount of tax due under the terms of this section and hold the same in trust for the city until such tax is remitted to the city as herein provided.
    3. On or before the 10th day of each calendar month, each wholesaler shall make a verified and comprehensive report to the city, which shall correctly show and reflect all sales and deliveries of distilled spirits to or for retail dealers in the city for the calendar month immediately preceding the date of the report. The report shall show the name and address of each retail dealer, the quantities delivered to each retail dealer, the amount of excise tax collected under the terms of this section, and such other reasonable information as may be requested by the city. The report shall be accompanied by remittance payable to the city for all taxes collected or due, as shown on the report.
    4. The excise tax levied in this chapter upon the retailer licensed to do business in the city and it is the intent of this section to so levy this tax but require the payment of the tax at the time of delivery by the retailer to the wholesaler, who shall have the responsibility of remitting the tax to the city on behalf of the retailer on or before the tenth day of each calendar month, as hereinbefore required. In the event the tax due hereunder is not paid on or before the tenth day of each calendar month, a penalty of $100.00 will be levied by the city against each defaulting retailing licensee for whom the tax is not paid on or before the tenth day of the month.
40. Certification of Understanding

    I have read and understand the terms outlined above regarding wholesalers as excerpted from the City of Lilburn's Code of Ordinances. I further agree to abide by the ordinances of the City of Lilburn and I accept responsibility for any violations as they may pertain to the registration.

    1. I agree with the above statement
42. Do you certify that all information as provided in this form is true and accurate?

    1. We hereby certify that the forgoing registration is true and accurate.
44. Signature

    (Type your name to provide digital signature)

45. Date
    Date
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

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