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DAWSON COUNTY COMMUNITY DEVELOPMENT BUSINESS LICENSE APPLICATION To start a business in Dawson County, you must obtain an Occupational Tax certificate (business license). Additional permits or licenses may be required, depending on the type of business you plan to operate and the business location. Please submit completed applications to our office. Attach and provide copies of all applicable documents according to your business type: Incomplete applications will be returned. • 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 Department) • 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 finishes) • Copy of verifiable documents: provide a copy The state-required affidavits must be completed and notarized. Affidavits verifying residency status as referenced in O.C.G.A. § 50-36-1(e)(2) and§ 36-60-G(d) require a secure and verifiable document such as a driver's license, passport, permanent resident card, etc. Payments by check are made payable to Dawson County in the amount due at the time of submittal. Please note there is a $35.00 returned check fee if the payment cannot be processed. We also accept cash, money orders, or Visa & MasterCard. New Applications may be mailed to our office, submitted in person, or emailed to [EMAIL REDACTED] Should applicants have any questions or need assistance, please contact our office from 8:00 am to 5:00 pm, Monday through Friday. Please note that the address used for your business cannot be a P.O. Box or UPS Store/Mailbox location. The address used should be the physical location of the company. You can add an additional mailing address later in the application process. DAWSON COUNTY BUSINESS LICENSE OFFICE: 2S Justice Way, Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- OCCUPATIONAL TAX APPLICATION PLEASE FILL OUT COMPLETELY - LEAVE NO BLANKS Phone: [PHONE REDACTED] 25 Justice Way - Dawsonville, GA 30534 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): _ Dawson 911 Address: City/ State/Zip Code: _ Dawson Business Phone: Business Email Address: Business Contact: Mailing Address: _ Descriptions of Type of Business and Service(s) Offered: _ Please Complete and Provide Copies Federal ID Number: Georgia Sales Tax Number: _ State License Number: Number of Employees: _ FOR OFFICE PERSONNEL USE ONLY: License # _ Date Established NAICS Number Home Office Home Occupation Commercial TMP# _ Zoned: Zoning Verification: _ DAWSON COUNTY BUSINESS LICENSE OFFICE: 25 Justice Way, Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- BUSINESS LICENSE FEES: Home Office: $100.00 Home Occupations: $100.00 Commercial: Based on Number of Employees • 1 Employee is: $125.00 • 2-9 Employees is: $250.00 • Employees over 9 please see Business License Fees Payment Information: Checks (payable to Dawson County) or Email to request invoice for credit card payment. If any fees or occupation tax remain due and unpaid for 90 days from their due date, the person liable for the fees or tax shall be subject to and shall pay a penalty of ten (10) percent of the fees or tax due. Interest on delinquent fees and tax shall be assessed at 1.5 percent for each month or fraction there of delinquency. Consistent delinquencies can also result in an additional $25.00 Administrative Fee. Applicant Certification the member of the business entity listed, declare that the information contained in this application is true and correct to the best of my knowledge. I understand that the business the responsibility of the business owner to maintain a current and active Business License and occupational tax certificate. License expires on the last day of the month it was opened, and should be renewed annually by the end of the grace period, being 90 days after expiration date. Signature of Applicant: _ Date: _ Commercial Location Only: Outdoor Storage or Outdoor Display: Yes_ No_ If yes, list products (excluding signs) to be stored or displayed _ Is this a new construction: Yes No_} sharing space with another business: Yes_ No_ If yes, list business name: _ Existing Building: Yes_ No_/ Are you making cosmetic changes: Yes_ No_ DAWSON COUNTY BUSINESS LICENSE OFFICE: 25 Justice Way,Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- Private Em loyer Exemption Affidavit Pursuant to O.C.G.A. § 36-60-6(d) By executing this affidavit, the undersigned private employer verifies that it is exempt from compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm or corporation employs fewer than eleven empJoyees 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 periury that the foregoing is true and correct. Printed Name of Exempt Private Employer: Signature of Authorized Officer or Agent: Printed Name and Title of Authorized Officer or Agent: Subscribed and sworn to me in the city of (City), (State) Executed on this day of , 20 Signature of Notary: My Commission Expires: Notary Stamp See reverse side Private Employer Affidavit of Compliance r DAWSON COUNTY BUSINESS LICENSE OFFICE: 2S Justice Way, Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- Private Employer Affidavit of Compliance Pursuant to O.C.G.A. § 36-60-6(d) By executing this affidavit, the undersigned private employer verifies its compliance with O.C.G.A. § 36-60-6, stating affirmatively that the individual, firm or corporation employs more than ten employees and has registered with and utilizes 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. Furthermore, the undersigned private employer hereby attests that its federal work authorization user identification number and date of authorization are as follows: Federal Work Authorization User ID Number: Authorization Date: Printed Name of Private Employer: Signature of Authorized Officer or Agent: Printed Name and Title of Authorized Officer or Agent: I do hereby declare under penaltv of perjury that the foregoing is true and correct. Subscribed and sworn to me in the city of (City), (State) - Executed on this _ _ _ day of 20 Signature of Notary: Notary Stamp My Commission Expires: DAWSON COUNTY BUSINESS LICENSE OFFICE: 25 Justice Way, Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- Affidavit Verifying Residency Status of an Applicant as Required by the Georgia Security and Immigration Compliance Act Pursuant to 0.C.G.A. § 50-36-1 By executing this affidavit under oath, as an applicant for a Dawson County, Georgia Occupational Tax Certificate or other public benefit as referenced in O.C.G.A. § 50-36-1, I am stating the following with respect to my application for a public benefit (check box below): Occupational Tax Certificate (Business License) Please check one: I am a United States Citizen I am a legal, permanent resident of the United States ,Ï 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. My alien number issued by the Department of Homeland Security or other federal immigration agency is: _ 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 by O.C.G.A. § 50-36-l(e) with this affidavit. The secure and verifiable document such as a copy of a photo identification, driver's license, passport, permanent resident card, etc., provided with this affidavit can best be classified as: _ 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 by guilty of a violation of O.C.G.A. § 16-10-20, and face criminal penalties as allowed by such criminal statute. Executed in (City), (State) Signature of Applicant: _ Name of Business: _ Printed Name of Applicant: _ Date: _ Notary Stamp Executed on this day of 20 _ Signature of Notary: My Commission Expires DAWSON COUN1Y BUSINESS LICENSE OFFICE: 25 Justice Way, Dawsonville, GA 30534 2.11.2025 ---PAGE BREAK--- DAWSON COUNTY E-911 COMMUNICATIONS 19 Tucker Avenue, Dawsonville, GA 30534 Email: kb fCorg NOTICE TO ALL DAWSON COUNTY BUSINESS OWNERS: E-911 NEEDS THE FOLLOWING INFORMATION FOR THEIR FILES IN ORDER TO CONT ACT SOMEONE IN CASE OF A FIRE, BREAK-IN, OR OTHER EMERGENCY THAT OCCURS AFTER HOURS. Business Name: Street Address: Business Phone: Business Owner: Business Owner's After Hours Emergency Phone Number: _ Building Owner: (If different from business owner) Building Owner's Phone: BUSINESS LOCATION: □ □ □ □ □ □ Inside Residence Next to Residence Inside Shopping Center Inside Business park Commercial Building Office Complex Security System Contact Phone: Watchman on Site: Guard Dogs on Site: Name of Shopping Center: Name of Business Park: Name of Office Complex: I Yesl Yes INFORMATION FOR FIRE DEPARTMENT: Hazardous/Flammable Material on Site: Yes Type: EMERGENCY CONTACTS: (Other than those listed above) Name: Phone: Position: Name: Phone: Position: I No No No