Newnan, GA · Coweta County

Public Benefit Status Affidavit

This affidavit lets an applicant for a City of Newnan Occupational Tax Certificate swear to their citizenship or immigration status and confirm they are at least 18 and provided a secure, verifiable 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

The applicant uses this form to state under oath whether they are a U.S. citizen, lawful permanent resident, or qualified alien or non-immigrant, and to identify a secure, verifiable document. It also records the applicant’s affirmation that they are at least 18 and includes a warning about penalties for knowingly making a false statement. The form is for applicants seeking an Occupational Tax Certificate from the City of Newnan.

Who needs it

Applicants for a City of Newnan Occupational Tax Certificate must complete this affidavit to verify their status and identify a secure, verifiable document provided with it.

Why it needs a notary

The form carries a subscribed-and-sworn jurat; the applicant signs and swears or affirms the statements before the notary, who completes the jurat and commission details.

How to get this notarized

  1. 1

    Download the Form

    Get the Public Benefit Status Affidavit from the City of Newnan.

  2. 2

    Fill In Your Details

    Select the applicable status, identify your secure and verifiable document, and complete the applicant and execution fields.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and check with the City about acceptance of remote notarization for this sworn form.

  4. 4

    Sign on Video

    Sign and swear or affirm the affidavit during the online notarization session.

  5. 5

    Submit to the City

    Submit the completed affidavit with your Occupational Tax Certificate application and required supporting document.

Preview the form

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

Open in new tab
Info

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 Public Benefit Status Affidavit?
Enter your status and document details, attach a copy of your alien registration number documentation if applicable, then sign and swear to the statements before a notary.
Do I need to attach a document to this affidavit?
The form says to provide at least one secure and verifiable document. If you provide an alien registration number, it specifically says to attach a copy for verification.
Can I use a commissioned online notary for this sworn affidavit?
Georgia has no remote online notarization statute of its own and recognizes acknowledgments taken by notaries of other states under O.C.G.A. §44-2-21. This form requires an oath, so ask the City whether it accepts one completed with a commissioned online notary; confirm with the city if unsure.
Where do I submit the completed affidavit?
The form identifies the City of Newnan and says the affidavit is for an Occupational Tax Certificate application. Contact the City to confirm how to submit your completed application and supporting document.

Public Benefit Status 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 Public Benefit Status Affidavit?

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