Johns Creek, GA · Fulton County

Private Employer Affidavit

This affidavit reports whether a private employer has ten or more employees and is filed by an authorized business representative with an occupational tax certificate application.

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

Johns Creek requires this affidavit with an application for a new or renewal business occupation tax certificate. The applicant’s authorized officer or agent identifies the business, checks whether it employed ten or more employees, and signs under oath. Employers that check the ten-or-more option must also provide their federal work authorization user identification number and authorization date. Return the notarized affidavit with the application and payment to obtain the business tax certificate.

Who needs it

A private employer applying for a new or renewal Johns Creek occupational tax certificate must have an authorized officer or agent complete and submit this affidavit.

Why it needs a notary

The form carries a “Subscribed and sworn before me” jurat; the employer’s authorized officer or agent signs the affidavit under oath before the notary.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Johns Creek Private Employer Affidavit and review the instructions.

  2. 2

    Complete the Form

    Enter the business and authorized representative details, then check the applicable employee-count option.

  3. 3

    Book an Online Notary

    Arrange an online notarization appointment for the authorized officer or agent who will sign under oath.

  4. 4

    Sign on Video

    Appear before the notary and sign the affidavit under oath; complete the E-Verify details if required.

  5. 5

    Submit to the City

    Return the notarized affidavit with the business tax certificate application and payment.

Preview the form

The blank PDF straight from Johns Creek. 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 submit the Private Employer Affidavit?
Complete the affidavit, sign it under oath before a notary, then return it with your application and payment to obtain your business tax certificate.
Do I need to provide E-Verify information?
Only if you check the option stating that the business employed ten or more employees. The form then asks for the federal work authorization user identification number and authorization date.
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). This form requires an oath, so confirm with the city if unsure.
Who signs the affidavit?
The form calls for the printed name and title, and signature, of the private employer’s authorized officer or agent. That person signs under oath before the notary.

Private Employer Affidavit in other Fulton County cities

Each city publishes its own version of this form. Pick the city where you’re filing.

Ready to notarize your Private Employer Affidavit?

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