Bethlehem, GA · Barrow County
Registered Agent Form
This form designates a registered agent for a business applying for or holding a Bethlehem alcoholic beverage license.
What this form is
Businesses applying for or holding a Bethlehem alcoholic beverage license use this form to designate a registered agent who lives in Barrow County. It records the business and agent’s details, the agent’s consent and background investigation consent, and authorization and signatures from the licensee, owner, or corporate officer. The form also requests a $50 money order and two recent pictures of the agent.
Who needs it
A business applying for or holding a Bethlehem alcoholic beverage license must designate a registered agent who lives in Barrow County.
How to submit it
Submit the completed form to Bethlehem City Hall, 750 Manger Ave., P.O. Box 210, Bethlehem, GA 30620. Attach a $50 money order payable to City of Bethlehem and two pictures of the agent taken within the last year.
About notarization
No notary is required; the agent and licensee, owner, or officer sign and date the form, and the agent’s two pictures and $50 money order are attached.
How to submit this form
- 1
Download The Form
Download the Registered Agent Form for a Bethlehem alcoholic beverage license.
- 2
Complete The Form
Enter the business and agent information, provide the agent’s consent, and obtain the required authorization and signatures.
- 3
Gather Attachments
Attach a $50 money order payable to City of Bethlehem and two agent pictures taken within the last year.
- 4
Submit To The City
Submit the form and attachments to Bethlehem City Hall, 750 Manger Ave., P.O. Box 210, Bethlehem, GA 30620.
Frequently asked questions
- Do I need a notary for the Registered Agent Form?
- No. The form has signature and date lines but no notary block. The agent and licensee, owner, or officer sign and date it; attach the required pictures and money order.
- How do I submit the Registered Agent Form?
- Submit it to Bethlehem City Hall at 750 Manger Ave., P.O. Box 210, Bethlehem, GA 30620. Include a $50 money order payable to City of Bethlehem and two recent agent pictures.
- Who can serve as the registered agent?
- The registered agent must live in Barrow County. The business owner may serve as the agent if the owner lives in Barrow County.
Need something notarized?
This Registered Agent Form doesn’t need a notary — but if you have another Bethlehem form that does, a commissioned online notary can help.