Georgia Malt Beverage Wholesalers Bond
Bond Price:
Depends on Application
Applicant
Bond Information
Amount of your Bond *
Effective Date of Your Bond *
Expiration Date of Your Bond *
Company Information
Company Name *
Company FEIN *
Company Address
Address Line 1 *
Address Line 2
City *
State *
Zipcode *
Company Email *
Company Phone *
Personal Information
First Name *
Last Name *
Social Security Number *
Address
Address Line 1 *
Address Line 2
City *
State *
Zipcode *
Email Address *
Cell Phone *
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Bond Form
Additional Questions
What is the name of the corporation or partners and or DBA? *
All Georgia Alcohol Tax Bonds are valid from January 01-December 31, inclusive. Please state the calander year for which you are applying. (Example: 20, 21, 23, 24 etc) *
Please provide your license number as it appears on your state forms. (If Applicable) Place N/A if not Applicable *
In what county will you be conducting business in (primary)? *
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Georgia Malt Beverage Wholesalers Bond
Bond Amount -
$300
Effective Date -
Expiration Date -
State Revenue Commissioner - Dept of Revenue
TOTAL -
$300
Payment method
I authorize Palmetto Surety Corporation to charge my credit card above for agreed-upon bond purchases. I understand that my information will be saved to file for future transactions on my account.
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