Butler, GA · Taylor County
E-Verify Private Employer Affidavit
This affidavit records a private employer’s employee-count and federal work authorization statements for an applicant seeking a Butler business license, occupational tax certificate, or other required business document.
- 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 E-Verify Private Employer Affidavit asks the applicant’s private employer to state whether it employed more than ten people or ten or fewer people on January 1 of the year shown. It also includes a statement about registering for and using the federal work authorization program, along with fields for the employer’s user identification number and authorization date. The city form identifies this affidavit for applicants seeking a business license, occupational tax certificate, or other required document to operate a business.
Who needs it
A private employer representative completes this affidavit when applying to the City of Butler for a business license, occupational tax certificate, or other required business document.
How to get this notarized
- 1
Download the Affidavit
Get the E-Verify Private Employer Affidavit from the City of Butler.
- 2
Complete the Form
Fill in the employer details, applicable employee-count statement, work authorization information, and officer or agent details.
- 3
Book an Online Notary
Schedule a session with a commissioned online notary.
- 4
Sign on Video
Sign the affidavit during the online notary session when instructed.
- 5
Submit to the City
Send the notarized affidavit with your business application to the City of Butler.
Preview the form
The blank PDF straight from Butler. 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 E-Verify affidavit?
- Enter the employer’s information, select the applicable employee-count statement, complete any required work authorization details, and sign before the notary.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a “Subscribed and sworn before me” section, so the authorized officer or agent should sign before the notary.
- Can I use an online notary for this affidavit in Georgia?
- 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); this form calls for a sworn affidavit, so confirm with the city if unsure.
- What should I do after notarization?
- Submit the completed affidavit with your business license, occupational tax certificate, or other required business application to the City of Butler.
Other forms in Butler
E-Verify Private Employer Affidavit in other Taylor County cities
Each city publishes its own version of this form. Pick the city where you’re filing.