Who uses the Insurance Tax Certificate Application?

Insurance companies conducting business at locations within Vienna use the application, which asks for the company name, mailing address, and application year.

What fee and due date does the application list?

The document lists a $40 annual license fee due by February 1 for each separate business location. It states that a 10% penalty is assessed after March 1.

How do I submit the application?

The document says to return payment to the City of Vienna, P.O. Box 436, Vienna, Georgia 31092. It lists City Hall at (229) 268-4744 for questions.

Do I need a notary for the Insurance Tax Certificate Application?

No. This document does not require notarization and lists no sworn attachment or related notarized step; the signer just signs and dates it.

Vienna, GA · Dooly County

No notary required

Insurance Tax Certificate Application

Insurance companies use this application to provide company and mailing details for an annual license covering each business location in Vienna.

What this form is

This application is for insurance companies conducting business at locations within Vienna. It asks for the company name, mailing address, and application year; the document states that a $40 annual license fee is due by February 1 for each separate business location, with a 10% penalty assessed after March 1.

Who needs it

Insurance companies conducting business within Vienna use this application for each separate business location.

How to submit it

Return payment to the City of Vienna, P.O. Box 436, Vienna, Georgia 31092. The document lists City Hall at (229) 268-4744 for questions.

About notarization

This document is completed without a notary; it lists no sworn attachment or related notarized step, so the signer just signs and dates it.

How to submit this form

1
Download The Application
Download the Insurance Tax Certificate Application PDF.
2
Complete Company Details
Enter the application year, company name, and mailing address.
3
Prepare The License Payment
The document lists a $40 annual license fee for each separate business location, due by February 1.
4
Return Payment To The City
Return payment to the City of Vienna, P.O. Box 436, Vienna, Georgia 31092.

Frequently asked questions

Who uses the Insurance Tax Certificate Application?: Insurance companies conducting business at locations within Vienna use the application, which asks for the company name, mailing address, and application year.
What fee and due date does the application list?: The document lists a $40 annual license fee due by February 1 for each separate business location. It states that a 10% penalty is assessed after March 1.
How do I submit the application?: The document says to return payment to the City of Vienna, P.O. Box 436, Vienna, Georgia 31092. It lists City Hall at (229) 268-4744 for questions.
Do I need a notary for the Insurance Tax Certificate Application?: No. This document does not require notarization and lists no sworn attachment or related notarized step; the signer just signs and dates it.

Need something notarized?

This Insurance Tax Certificate Application doesn’t need a notary — but if you have another Vienna form that does, a commissioned online notary can help.