Hampton, GA · Henry County
Public Benefits Receipt Affidavit
This affidavit verifies an applicant’s status when applying to the City of Hampton for a public benefit, including a business license, assistance, or other benefit listed on the form.
- 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 form identifies the applicant, the person or entity represented, and the category of public benefit sought from the City of Hampton. The applicant swears to qualifying citizenship or immigration status and provides an alien registration number when required by the form. The city requires this affidavit from applicants for public benefits, a broad category that includes certain licenses, business authorizations, assistance, and grants.
Who needs it
A person applying to the City of Hampton for a public benefit on behalf of themselves, a business, or another private entity needs this affidavit.
How to get this notarized
- 1
Download the Affidavit
Download the City of Hampton Public Benefits Receipt Affidavit.
- 2
Fill In the Form
Provide the applicant and represented-party details, benefit category, and requested status information.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary.
- 4
Sign on Video
Sign and swear to the affidavit during the online notarization session.
- 5
Submit to the City
Submit the completed affidavit with your public benefit application to the City of Hampton.
Preview the form
The blank PDF straight from Hampton. 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 the public benefits receipt affidavit?
- Enter the applicant and represented person or entity details, identify the benefit category, complete the status section, and sign under oath before a notary.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a subscribed-and-sworn jurat and directs the applicant to sign before a notary.
- Can I use a commissioned online notary for this affidavit?
- 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); confirm with the city if unsure.
- What information does the affidavit ask for?
- It requests applicant and represented-party details, contact information, the public benefit category, a status declaration, and an alien registration or alternative identifying number where applicable.