Johns Creek, GA · Fulton County
Change of Business Name/DBA for Occupation Tax Certificate
Businesses use this form to report a name or DBA change associated with an occupation tax certificate in Johns Creek.
What this form is
This form lets a business report a change to the business name or DBA associated with its occupation tax certificate. The applicant provides the control and license numbers, contact and location details, new name or DBA, and a brief description of the primary business activity, then signs and dates a certification that the information is true and correct. A change in ownership requires a new application, Form R100.
Who needs it
A business reporting a name or DBA change for its occupation tax certificate uses this form; a change in ownership requires Form R100.
How to submit it
Submit it to City of Johns Creek Revenue, 11360 Lakefield Drive, Johns Creek, Georgia 30097; the form lists 678-512-3242.
About notarization
This document is signed and dated without a notary; the applicant certifies the statements under penalty of perjury, and no notarized attachment is listed.
How to submit this form
- 1
Download The Form
Download the Change of Business Name/DBA for Occupation Tax Certificate form.
- 2
Complete The Form
Enter the control and license numbers, business contact and location information, new name or DBA, and brief primary business activity description.
- 3
Gather Attachments
No attachments are listed on this form. If ownership is changing, the form says a new application, Form R100, is required.
- 4
Sign And Date
Sign and date the certification, and print the applicant’s name and title.
- 5
Submit To Revenue
Submit the form to City of Johns Creek Revenue at 11360 Lakefield Drive, Johns Creek, Georgia 30097.
Frequently asked questions
- Do I need a notary for this business name change form?
- No. The applicant signs and dates the form and certifies the statements under penalty of perjury; the document lists no notarized attachment.
- How do I submit the business name change form?
- The form lists City of Johns Creek Revenue at 11360 Lakefield Drive, Johns Creek, Georgia 30097, and provides the phone number 678-512-3242.
- What information does the form ask for?
- It asks for control and license numbers, business contact and location details, the new business name or DBA, a brief industry description, and the applicant’s signature, printed name, title, and date.
- What if the business has a change in ownership?
- The form states that a change in ownership requires a new application, Form R100.
Need something notarized?
This Change of Business Name/DBA for Occupation Tax Certificate doesn’t need a notary — but if you have another Johns Creek form that does, a commissioned online notary can help.