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Document Dawsoncountyga_doc_082242a10f

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pg. 1 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Dawson County Planning and Development Occupational License Application To start a business in Dawson County, you must obtain an Occupational Tax Certificate (business license), in addition to any permits or licenses that may be required depending on the type of business you plan to operate, and the business location. Please submit the completed application to our office. Attach and provide copies of all applicable documents that apply to you, according to your business type. Incomplete applications will be rejected. • State License (contractors, plumbers, electricians, cosmetologists, etc.) • Federal Identification Number- SS4 Form only (irs.gov) [PHONE REDACTED] • E-Verify Confirmation Document (e-verify.gov) • Georgia Sales Tax Number (dor.ga.gov) • Food Service Permit (Dawson County Health Dept.) • Department of Agriculture Certificate • Registered Trade Name (DBA) Dawson Clerk of Court • Corporation or LLC Papers with a copy of annual registration (sos.ga.gov) • Certificate of Occupancy (new builds & tenant changes) • Copy of Drivers License or other applicable identification State required affidavits must be completed and notarized. Residency verification as referenced in O.C.G.A. § 50-36-1(e)(2) and § 36-60-6(d) require a secure document such as DL, Passport, or Permanent Resident Card. New applications may be submitted in person, or emailed to [EMAIL REDACTED] Please note that the address used for your business can not be a P.O. Box or UPS Store/Mailbox location. It must be the physical location of the company. ---PAGE BREAK--- pg. 2 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Occupational Tax Application PLEASE FILL OUT COMPLETELY – LEAVE NO BLANKS Phone: [PHONE REDACTED] 25 Justice Way, Suite 2322 Dawsonville, GA 30534 New Business License Fee: $100.00 plus, a $50.00 Administrative Fee Make checks payable to Dawson County, or request an invoice from [EMAIL REDACTED] Type of Business: (Check One) Home Office: Home Occupation: Commercial: Type of Ownership: (Check One) Partnership: LLC: Corporation: Sole Proprietor: Business Name: Doing Business As (DBA): Location Address: City/State/Zip Code: Phone: Email: Mailing Address: Business Description: Federal ID Number: State License Number: Georgia Sales Tax Number: ---PAGE BREAK--- pg. 3 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Private Employer Exemption Affidavit Pursuant to O.C.G.A. § 36-60-6 By executing this affidavit, the undersigned private employer verifies that the individual, form or corporation employs fewer than eleven employees and therefore is not required to register with and or utilize the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-90. I do hereby declare under penalty of perjury that the foregoing is true and correct. Printed Name of Exempt Employer or Authorized Agent: Signature of Exempt Employer or Authorized Agent: Subscribed and sworn to me in the city of (city), Executed on this ___day of Signature of Notary: ---PAGE BREAK--- pg. 4 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Private Employer Affidavit of Compliance Pursuant to O.C.G.A. § 36-60-6 By executing this affidavit, the undersigned private employer verifies that the individual, form or corporation employs more than ten employees and therefore is required to register with and or utilize the federal work authorization program commonly known as E-Verify, or any subsequent replacement program, in accordance with the applicable provisions and deadlines established in O.C.G.A. § 13-10-90. I do hereby declare under penalty of perjury that the foregoing is true and correct. Federal Work Authorization User ID Number: Authorization Date: Printed Name of Private Employer or Agent: Signature of Authorized Employer or Agent: Subscribed and sworn to me in the city of (city), Executed on this ___day of Signature of Notary: ---PAGE BREAK--- pg. 5 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Affidavit Verifying Status of an Applicant by the Georgia Security and Immigration Compliance Act Pursuant to O.C.G.A § 50-36-1 By executing this affidavit under oath, as an applicant for a Dawson Count, Georgia Occupational Tax Certificate as referenced in O.C.G.A. § 50-36-1, I am stating the following with respect to my application for a public benefit. Please check one: I am a United States Citizen I am a legal, permanent resident of the United States I am a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or other Federal Immigration Agency. Alien Number issued by the Department of Homeland Security: The undersigned applicant hereby verifies that he or she is 18 years of age or older and has provided at least one secure and verifiable document as required with this affidavit, and in making the representation under oath, I understand that any person who knowingly and willfully makes a false, fictitious or fraudulent statement in an affidavit shall be guilty and in violation of O.C.G.A § 16-10-20, and face criminal penalties as allowed by such criminal statue. Executed in Signature of Applicant: Printed Name of Applicant: Date: Executed on this day of Signature of Notary: ---PAGE BREAK--- pg. 6 DAWSON COUNTY BUSINESS LICENSE OFFICE 10/20/2025 Applicant Certification I, being the applicant of the business entity listed, declare that the information contained in the application is true and correct to the best of my knowledge, and I understand that it is the responsibility of the business owner to maintain a current and active Occupational Tax Certificate. Things to know: • Occupational Tax Certificates expire on the last day of the month it is issued, and should be renewed annually before the end of the grace period, being 90 days after the expiration date. • After the 90-day grace period you will incur late fees of 10% for the first month and 1.5 % for every month after. • Renewals are based of Gross Annual Receipts with the following Tier Schedule: Annual Gross Income Estimate • Tier 1: $1-$249,000 fee is $250.00 • Tier 2: $250,000- $999,999 fee is $650.00 • Tier 3: $1,000,000-$2,499,999 fee is $1050.00 • Tier 4: $2,500,000 and above is $2050.00 Any questions or concerns can be emailed to [EMAIL REDACTED]