Lilburn, GA · Gwinnett County
Statement of Personal History
This sworn personal-history form collects background and ownership information from anyone with at least a 20% interest in a business applying for an alcoholic beverage license in Lilburn.
- 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 City of Lilburn uses this statement as part of an alcoholic beverage license application. Each person with a 20% or greater interest in the business must complete the form, answer every question fully, attach a recent front-view photograph, and provide any additional answer sheets if needed. The applicant swears that the answers are true and correct, and the form also includes consent for the city to receive criminal justice records.
Who needs it
Each person with at least a 20% interest in a business applying for an alcoholic beverage license in Lilburn must complete this statement and be fingerprinted.
How to get this notarized
- 1
Download The Form
Get the Statement of Personal History from the City of Lilburn.
- 2
Complete Every Question
Answer each question fully and attach separate sheets if the provided space is not enough. Include a front-view photograph taken within the past year.
- 3
Book An Online Notary
Schedule an online session with a commissioned online notary and have the completed form ready.
- 4
Take The Oath And Sign
Sign and swear that your answers are true during the video session, following the notary's instructions.
- 5
Submit To The City
Submit the notarized statement and any attachments as part of the alcoholic beverage license application.
Preview the form
The blank PDF straight from Lilburn. 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 get the Statement of Personal History notarized?
- Complete every question, gather any separate answer sheets and a recent front-view photograph, then book a session with a commissioned online notary. Sign and swear to your answers during the video session, then submit the completed form to the city.
- Do I need to sign the form before the notary appointment?
- No. The form says it must be executed under oath, and the notary certifies that the applicant signed and swore to the answers. Wait to sign until the notary instructs you during the appointment.
- Can I use a commissioned 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). Ask the city whether it will accept this sworn form notarized online; confirm with the city if unsure.
- Who must complete this personal-history statement?
- The form says any party with a 20% or greater interest in the business must complete the statement and be fingerprinted. It is for a business applying for an alcoholic beverage license.