Villa Rica, GA · Carroll County

Private Employer Affidavit

This affidavit lets a private employer verify its employee count and, when applicable, federal work authorization information for a Villa Rica business license or other required business document.

Simple form~10 min to notarize
  • licensed online notary
  • ~15 min average
  • Notarized PDF emailed

What you’ll need

  • Government-issued photo ID
  • Webcam-enabled device (laptop or phone)
  • This form, ready to upload as a PDF

What this form is

Villa Rica uses this affidavit with an application for a business license, occupational tax certificate, or another document required to operate a business under the cited law. The authorized officer or agent selects whether the employer had more than ten employees on January 1; employers selecting that option also provide their federal work authorization user ID and authorization date. The signer declares the information true under penalty of perjury and swears before a notary.

Who needs it

A private employer applying for a Villa Rica business license, occupational tax certificate, or another required business document may need an authorized officer or agent to complete this affidavit.

Why it needs a notary

The form carries a subscribed-and-sworn jurat block; the employer’s authorized officer or agent signs and swears to the affidavit before the notary.

How to get this notarized

  1. 1

    Download The Form

    Get the Private Employer Affidavit from the City of Villa Rica.

  2. 2

    Fill Out The Applicable Sections

    Select the employee-count option for January 1 and complete Section 2 only if selecting Section 1(A).

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary before signing the affidavit.

  4. 4

    Sign On Video

    The authorized officer or agent signs and swears to the affidavit during the online notarization session.

  5. 5

    Submit To The City

    Send the notarized affidavit with the applicable business license, occupational tax certificate, or other required filing.

Preview the form

The blank PDF straight from Villa Rica. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.

Frequently asked questions

How do I notarize the Private Employer Affidavit online?
Complete the applicable sections, then book with a commissioned online notary. Sign and swear to the affidavit during the video session, and submit the notarized form to the city.
Do I need to complete Section 2?
The form says employers selecting Section 1(A)—more than ten employees on January 1—should complete Section 2. Employers selecting Section 1(B)—ten or fewer—should skip it.
Can I use an online notary for this affidavit in Georgia?
Georgia has no remote online notarization statute of its own. Georgia law recognizes acknowledgments taken by notaries of other states under O.C.G.A. § 44-2-21. Confirm with the city if unsure.
Who must sign the affidavit?
An authorized officer or agent of the private employer signs and swears that the information is true and correct before the notary.

Private Employer Affidavit in other Georgia cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Private Employer Affidavit?

Drop your email below — we’ll hand you straight to a licensed notary in the next session.