Eatonton, GA · Putnam County

Private Employer and Public Benefit Affidavit

The Private Employer and Public Benefit Affidavit is completed by an applicant seeking an Eatonton occupation tax certificate or another public benefit, with employer and eligibility details sworn before a notary.

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

This affidavit records an applicant’s employer information, employee count, federal work authorization details, and one selected citizenship or immigration status option. It also states that the applicant is at least 18 and has supplied a copy of a secure and verifiable document. The form is for applicants seeking an Eatonton Occupation Tax Certificate or another public benefit referenced on the form; the applicant signs under oath.

Who needs it

Applicants for an Eatonton Occupation Tax Certificate or another public benefit referenced on the form who must provide the listed employer and eligibility attestations.

Why it needs a notary

The form contains a subscribed-and-sworn jurat; the applicant signs the affidavit and swears to its statements before the notary, who signs and seals it.

How to get this notarized

  1. 1

    Download the Affidavit

    Get the Private Employer and Public Benefit Affidavit from the City of Eatonton.

  2. 2

    Fill In the Form

    Enter the business and employer details, choose one status option, and provide the requested document information.

  3. 3

    Book an Online Notary

    Arrange a session with a commissioned online notary and check with the city if you are unsure it accepts remote notarization.

  4. 4

    Sign on Video

    Sign and swear to the affidavit during the notary session; the notary completes the jurat.

  5. 5

    Submit to the City

    Submit the completed affidavit and any required supporting document copies to the City of Eatonton.

Preview the form

The blank PDF straight from Eatonton. Look it over, then upload your filled copy to start the notary session.

Open in new tab
Info

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 and notarize this affidavit?
Fill in the requested employer and eligibility details, select one status option, and provide the document information. Book a commissioned online notary, sign and swear to the form during the session, then submit it to the city.
Do I need to sign the affidavit in front of a notary?
Yes. The form includes a subscribed-and-sworn jurat and says the applicant’s signature must be sworn before a notary. The notary also signs and seals the form.
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, but this form requires an oath; confirm with the city if unsure whether it will accept remote notarization.
What information does the affidavit ask for?
The form asks for the business name, employee count, federal work authorization user ID and authorization date when applicable, a citizenship or immigration status selection, and secure and verifiable document details.

Ready to notarize your Private Employer and Public Benefit Affidavit?

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