Att 300Lla Form – Fill Out and Use This PDF

Att 300Lla Form PDF Details

The Att 300LLA form is a two-page document issued by the Georgia Department of Revenue (DOR) under the state's Coin-Operated Amusement Machine (COAM) law. It covers both new registrations and annual renewals.

Who Must File

Any individual or business that owns or operates coin-operated amusement machines in Georgia must file this form. Covered equipment includes video game consoles, pinball machines, jukeboxes, and similar coin-fed devices placed at arcades, restaurants, bars, or other venues.

Key Sections of the Form

The form is divided into three main parts:

• Owner and business information. Your legal name, Federal Employer Identification Number (FEIN), and Georgia tax account number.
• Machine and location details. The total number of machines per location, the type of each machine, and the physical address where they are operated.
• License fee payment. The fee schedule is based on the number of machines. Payment must be made in U.S. funds and sent directly to the Georgia DOR. No third-party expenses may be deducted.

Temporary License Provision

First-time applicants who submit a complete Att 300LLA form may receive a temporary operating license while the Georgia DOR reviews the application. This allows machines to remain in service during the processing period, provided all financial requirements are met.

Renewal vs. New Registration

Renewal applicants must confirm that their machine count and location details have not changed since the previous license period. Any changes require a corrected or supplemental filing. New applicants must list every machine and location from the start.

For related filings, see the Georgia State Tax Instructions and the Business License Application forms available on FormsPal.