Oak Park, GA · Emanuel County
Authorized Agent Application Declaration
This form lets an authorized agent declare under penalty of perjury that application information is true and accurate, then swear to the declaration before a notary.
- 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
This one-page form identifies an authorized agent who states that they may make an application and that its information is true and accurate. The agent fills in the execution date and location, signs, and prints their name and title. The form’s “Subscribed and Sworn Before Me” section is completed during notarization. Use it with an application when requested; the form does not identify a specific application or city filing requirement.
Who needs it
An authorized agent making an application and declaring that its information is true and accurate may need to complete this form.
Why it needs a notary
The form includes a “Subscribed and Sworn Before Me” jurat; the authorized agent signs the declaration before the notary, who signs and records commission expiration.
How to get this notarized
- 1
Download the Form
Get the one-page authorized agent declaration form.
- 2
Fill In Your Details
Enter the execution date and city/state, then print your name and title.
- 3
Book an Online Notary
Arrange an appointment with a commissioned online notary and ask about the form’s jurat.
- 4
Sign on Video
Sign the declaration before the notary, who completes the “Subscribed and Sworn Before Me” block.
- 5
Submit the Form
Send the completed form with your application as requested.
Preview the form
The blank PDF straight from Oak Park. Look it over, then upload your filled copy to start the notary session.
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 this authorized agent declaration?
- Enter the execution date and city/state, sign as the authorized agent, and print your name and title. Sign before the notary, who completes the jurat.
- Do I need to sign this form in front of a notary?
- Yes. The form includes a “Subscribed and Sworn Before Me” section, so the authorized agent should sign before the notary.
- Can I use an online notary for this form?
- 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); this form has a jurat, so confirm with the city if unsure.