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Getting A Business License

By executing this affidavit under oath, as an application for the City of Pine Lake, Georgia Occupation Tax Certificate, Business License, Alcohol License, Taxi Permit or other public benefit as referenced in O.C.G.A. Section 50-36-1, I am stating the following with respect to my application for a City of Pine lake Business License, or Georgia Occupational Tax Certificate Alcohol License, Taxi Permit or other public benefit (circle one) for

Affidavit Verifying Status Form

Required for obtaining an occupational tax certificate (business license).
  • Name of natural person applying on behalf of individual, corporation, partnership or other private entity
  • In making the above representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious, or fraudulent statement or representation in an affidavit shall be guilty of a violation of Code Section 16-10-20 of the Official Code of Georgia.
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