O.C.G.A 50-36-1 states that Any person who knowingly and willfully makes a false, fictitious, or fraudulent statement of representation in an affidavit executed pursuant to this Code section shall be guilty of a violation of Code Section 16-10-20. I declare, under penalty of law, that this affidavit has been completed by me and is true and correct. Signature Title Date (M.

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How to fill out the GA ATT-12 online

The GA ATT-12 form is a crucial document for individuals seeking a tobacco permit in Georgia. This guide will provide you with clear, step-by-step instructions on how to complete the form online, ensuring that you provide accurate information in every section.

Follow the steps to fill out the GA ATT-12 online accurately.

  1. Click the ‘Get Form’ button to access the GA ATT-12 form and open it in your preferred editor.
  2. In the first section, enter your State Taxpayer Identifier (STI) and your tobacco license number if applicable.
  3. Provide your legal business name and business address in the designated fields.
  4. Select the type of application you are submitting by checking the appropriate box, either for a Manufacturer Representative License or Wholesaler Salesman Permit.
  5. Fill in your social security number, followed by your full name, including your last name, first name, and middle initial.
  6. Indicate your date of birth in the specified format.
  7. Provide your home address, ensuring to include the city, state, and zip code.
  8. If your mailing address differs from your home address, fill it in as necessary.
  9. Enter your business phone number and home phone number.
  10. Answer the question regarding your employment duration with the above manufacturer or distributor.
  11. Detail your employment history for the past ten years. Include the employer's name, address, position, and duration of employment.
  12. Respond to the question about any arrests or being held by law-enforcement authorities, providing a detailed explanation if necessary.
  13. Sign and date the declaration under penalty of perjury, confirming the accuracy of your statements.
  14. Complete the verification of lawful presence affidavit by answering the questions and providing your alien number if required.
  15. Sign and date the affidavit, ensuring it is completed by the applicant or a corporate officer as applicable.
  16. Attach a copy of a secure and verifiable document as defined in O.C.G.A. 50-36-2.
  17. Finally, review the entire form for accuracy, then save your changes, download, print, or share the form as necessary.

Start filling out your GA ATT-12 form online today to ensure a smooth application process.

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