Whitesburg, GA · Carroll County

Coin Operated Machines Business License Renewal And Status Affidavit

This form renews a Whitesburg coin-operated machines business license and includes an affidavit that the applicant completes for a business license or other listed public benefit.

Standard form~15 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

Business owners use this form to continue a coin-operated machines business license by confirming business details and reporting gross receipts. The form gives the renewal deadline and requests a gross receipts estimate with the return; it also states that a Schedule C must be provided by April 15, 2026, to remain in business with the city. Its second page contains an affidavit for the applicant to complete under oath for a business license or other listed public benefit.

Who needs it

A coin-operated machines business owner seeking to renew a Whitesburg license, or an applicant completing the included affidavit for a listed city public benefit, needs this form.

Why it needs a notary

The second-page affidavit has a subscribed-and-sworn jurat block; the applicant named on the affidavit signs and swears to its statements before the notary.

How to get this notarized

  1. 1

    Download The Form

    Get the Whitesburg coin-operated machines business license renewal form and status affidavit.

  2. 2

    Fill In The Business Details

    Complete the license information and gross receipts details, and fill out the applicant information and affidavit statements.

  3. 3

    Book An Online Notary

    Arrange a session with a commissioned online notary for the affidavit's oath and jurat.

  4. 4

    Sign On Video

    Follow the notary's instructions and sign and swear to the affidavit during the online session.

  5. 5

    Submit To The City

    Return the completed form and required receipts estimate or tax form to Whitesburg City Hall as directed.

Preview the form

The blank PDF straight from Whitesburg. 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 complete the affidavit?
Enter the applicant and business names, select the applicable status, provide the requested document or alien number details, and sign and swear to the affidavit before a notary.
Do I need to submit a gross receipts estimate?
The form says to return a gross receipts estimate by March 15 to avoid a 10% penalty fee. It permits a signed CPA or accountant letter or a printed estimate from a cash register or point-of-sale system.
Can I use a commissioned online notary?
Georgia has no remote online notarization statute of its own. Georgia law recognizes acknowledgments taken by notaries of other states (O.C.G.A. §44-2-21), but this form calls for an oath; confirm with the city if unsure.
What must I submit to remain in business?
The form says a copy of the Schedule C tax form must be provided no later than April 15, 2026, to remain in business with the city. It also describes an option to file by March 15 with a gross receipts estimate.

Ready to notarize your Coin Operated Machines Business License Renewal And Status Affidavit?

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