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