Hinesville, GA · Liberty County
Coin Operated Amusement Machine Declaration Form
Hinesville business location owners or operators submit this declaration to report coin operated amusement machines before an occupational tax certificate or license is issued or renewed.
What this form is
This form reports whether a business location has coin operated amusement machines and identifies the machine owner. Hinesville requires location owners or operators offering these machines to the public to submit the information before an occupational tax certificate or license is issued or renewed. The form asks for business and owner contact details, machine counts, and a printed name, signature, and date.
Who needs it
A location owner or operator offering coin operated amusement machines to the public in Hinesville must submit this declaration before a certificate or license is issued or renewed.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; it has no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Coin Operated Amusement Machine Declaration Form.
- 2
Complete The Declaration
Enter the business and machine owner details, machine counts, and whether there are no machines at the location.
- 3
Sign And Date
Provide the printed name, signature, and date.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What does the Coin Operated Amusement Machine Declaration Form report?
- It reports whether a business location has coin operated amusement machines and provides business, machine count, and machine owner details.
- Who submits this Hinesville declaration form?
- A location owner or operator offering one or more bona fide coin operated amusement machines to the public in the city submits it.
- Do I need a notary for the Coin Operated Amusement Machine Declaration Form?
- No. This document is signed without a notary, and it has no notarized or sworn attachment; the signer just signs and dates it.
- How do I submit the Coin Operated Amusement Machine Declaration Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Coin Operated Amusement Machine Declaration Form doesn’t need a notary — but if you have another Hinesville form that does, a commissioned online notary can help.