Dallas, GA · Paulding County
Affidavit Verifying Status for City Public Benefit
This affidavit verifies an applicant’s citizenship or immigration status and age for people seeking a City of Dallas public benefit, such as an occupational tax application or alcohol permit.
- 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 affidavit lets an applicant declare under oath whether they are a U.S. citizen, a lawful permanent resident, or a qualified alien or non-immigrant, and provide an alien number if applicable. It also verifies that the applicant is at least 18 and identifies a secure and verifiable document submitted with the affidavit. The form is for applicants seeking a listed City of Dallas public benefit.
Who needs it
Applicants seeking an occupational tax application, alcohol server permit, alcohol license, or another City of Dallas public benefit who must verify status need this affidavit.
How to get this notarized
- 1
Download the Affidavit
Get the Affidavit Verifying Status for City Public Benefit from the City of Dallas.
- 2
Fill In Your Information
Select the application and status that apply, enter any alien number, and identify your secure and verifiable document.
- 3
Book an Online Notary
Arrange a session with a commissioned online notary, and check with the city about online notarization acceptance if needed.
- 4
- 5
Submit It to the City
Submit the completed affidavit and supporting document as part of your City of Dallas public-benefit application.
Preview the form
The blank PDF straight from Dallas. 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 this public-benefit affidavit?
- Select the public benefit and status that apply, provide any required alien number, identify the secure and verifiable document, then sign under oath before a notary.
- Do I need to sign this affidavit in front of a notary?
- Yes. The form includes a “Subscribed and sworn before me” block, so sign the affidavit under oath in front of the notary and leave the notary section for them to complete.
- Can I use a commissioned online notary for this affidavit?
- Georgia has no remote online notarization statute of its own, but recognizes acknowledgments taken by notaries of other states under O.C.G.A. § 44-2-21. Ask the city whether it accepts this affidavit notarized online; confirm with the city if unsure.
- What supporting document does the form ask me to identify?
- The form asks you to identify at least one secure and verifiable document provided with the affidavit. It points applicants to the Georgia Department of Revenue or Attorney General website for the complete list.
Affidavit Verifying Status for City Public Benefit in other Georgia cities
Each city publishes its own version of this form. Pick the city where you’re filing.