The Georgia ATT 15 form is an application used to obtain a permit for individuals seeking to represent or sell alcoholic beverages in Georgia. This form requires detailed information about the applicant, including personal identification and employment history, to ensure compliance with state regulations. Completing this form accurately is essential for a smooth application process, so make sure to follow the instructions carefully.
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The Georgia ATT 15 form is an essential document for individuals seeking to obtain an alcohol permit in the state. This application is specifically designed for sales representatives or agents involved in the distribution and sale of alcoholic beverages. To complete the form, applicants must provide a variety of personal and business information, including their Georgia State Taxpayer Identifier, business name, and type of permit being applied for. The form requires details such as the applicant's Social Security number, date of birth, and residence history, ensuring that all relevant personal information is accurately captured. Additionally, the form asks about any previous involvement with government authorities and requires a comprehensive employment history. Applicants must also check whether they have any interests in other alcoholic beverage businesses. It is crucial to note that the application must be signed and notarized, and it may include a fee depending on the type of permit sought. Furthermore, applicants must complete a Personal Statement and undergo fingerprinting as part of the process. The completed form must be mailed to the Georgia Department of Revenue, and it is recommended that applicants retain a copy for their records.
ATT-15 (REV. 5/11)
APPLICATION FOR ALCOHOL PERMIT
INSTRUCTIONS FOR COMPLETION OF THE APPLICATION FOR ALCOHOL PERMIT (ATT-15)
Use this form to obtain a permit for any salesmen or representative. Provide a separate application for each applicant.
TYPE OR PRINT IN BLUE INK - DO NOT USE PENCIL
INSTRUCTIONS FOR COMPLETING:
Line 1
Enter your Georgia State Taxpayer Identifier. (If you do not have one, leave blank).
Line 2
Enter the name and address under which your business is registered with the Secretary of State.
If your business is not registered, then enter the name under which your business owns property or
acquires debt. If the business is a partnership, the legal name is the partnership name. In the case of
a sole proprietorship, the legal name is the name of the individual owner of the business.
Line 3
Check the type of permit for which you are applying.
Line 4-11
Provide the following information about the applicant:
* Social Security Number
* Name of applicant
* Date of birth
* Home address
* Email
* Fax number
* Home telephone number
* Number of years of residency at above address
* Previous home address
Line 12
Enter previous home address.
Line 13
Enter the number of years applicant has been employed by company identified in Lines 1 and/or 2.
Line 14
Check “Yes” or “No” in the spaces provided.
Line 15-19
If Line 14 is yes, provide the following information for each alcoholic beverage business in which the
applicant has an interest (if more than one business, attach additional sheets with the information
requested below):
* State Taxpayer Identifier or business interest
* Name of business interest
* Alcohol License Number
* Business location address
* Business telephone number
Line 20
Provide information regarding any previous involvement with government authorities.
Line 21
Provide the following employment history information:
* Month and year employed from
* Name of previous employer
* Address of previous employer
* Position applicant held
INSTRUCTIONS FOR SIGNING:
This application must be signed by the applicant and duly notarized.
INSTRUCTIONS FOR PAYMENT:
There is no registration fee for a salesman or representative of a licensed wholesaler, importer, or broker of wine or malt beverages or of a licensed winery or brewery. The fee for a salesman or representative of a licensed wholesaler or producer distilled spirits $10.00 per person. A check or money order for the appropriate fee must be made payable to the GEORGIA DEPARTMENT OF REVENUE. Georgia law stipulates that taxes and fees shall be paid in lawful money of the U.S. and be free of any expense to Georgia.
Each Salesman or Representative applicant of a licensed liquor wholesaler must complete and attach a Personal Statement (ATT-17) and complete the Georgia Automated Fingerprint Procedure (GAPS). Examiners conducting the investigations for permits will provide an instructional package on how to successfully complete the GAPS registration process.
A fee of $52.90 is charged by Cogent Systems to each applicant being fingerprinted. Payment must be at time of registration. Credit card, money order or cashiers check payable to “Cogent Systems-GAPS”.
INSTRUCTIONS FOR MAILING AND REQUESTING INFORMATION:
Confirming company and applicant should retain a copy of this application for his file and for inspection by the Revenue Commissioner or designated Agents. Mail the original to the address shown below. If you have any questions or need assistance in completing the application, call (404) 417-4870.
GEORGIA DEPT OF REVENUE
ALCOHOL & TOBACCO DIVISION
P.O. BOX 49728
ATLANTA, GEORGIA 30359
THE PROCESSING OF THIS APPLICATION WILL BE DELAYED UNLESS IT IS PROPERLY SIGNED, COMPLETE INFORMATION FURNISHED, AND APPLICABLE QUESTIONS ANSWERED.
GEORGIA DEPT OF REVENUE ALCOHOL & TOBACCO DIVISION P.O. BOX 49728
OFFICE USE
Promotional
ONLY
1.
STATE TAXPAYER IDENTIFIER
STATE LICENSE NUMBER
2.
LEGAL BUSINESS NAME
D/B/A
LEGAL BUSINESS ADDRESS (City, State, and Zip Code):
3.FOR WHICH TYPE OF PERMIT ARE YOU APPLYING?
[] BUSINESSMAN OR REPRESENTATIVE OF A REGISTERED PRODUCER OF DISTILLED SPIRITS - FEE $10.00
[] SALESMAN OR REPRESENTATIVE OF A LICENSED WHOLESALER OF DISTILLED SPIRITS - FEE $10.00
[] SALESMAN OR REPRESENTATIVE OF A LICENSED WHOLESALER OF WINE - NO FEE
[] SALESMAN OR REPRESENTATIVE OF A LICENSED WINERY, IMPORTER, OR BROKER OF WINE - NO FEE
[] SALESMAN OR REPRESENTATIVE OF A LICENSED BREWERY, IMPORTER, OR BROKER OF MALT BEVERAGES - NO FEE
[] SALESMAN OR REPRESENTATIVE OF A LICENSED WHOLESALER OF MALT BEVERAGES - NO FEE
4.
SOCIAL SECURITY NUMBER
LAST, FIRST, MIDDLE INITIAL
DATE OF BIRTH
5.
NUMBER AND STREET ADDRESS (Residence)
6.
NUMBER AND STREET ADDRESS (Additional Space)
7.
CITY
STATE
ZIP CODE
COUNTY
COUNTRY
8.
AREA CODE, BUSINESS PHONE NO.
AREA CODE, HOME PHONE NO.
YEARS OF RESIDENCE
(
)
9.
FAX NO.
E-MAIL ADDRESS
10.
NUMBER AND STREET (Additional Space)
11.
NUMBER AND STREET (Previous address)
12.
13.
HOW LONG HAVE YOU BEEN EMPLOYED BY THE ABOVE FIRM?
14.
DO YOU HAVE ANY INTEREST, DIRECTLY OR INDIRECTLY, IN ANY OTHER ALCOHOLIC BEVERAGE BUSINESS?
[
] YES
[ ] NO (if “Yes”, provide the following):
15.
STI NUMBER
ALCOHOLIC LICENSE
16.
NUMBER AND STREET ADDRESS (Business)
17.
18.
19.AREA CODE, PHONE NUMBER
( )
20.HAVE YOU EVER BEEN ARRESTED, OR HELD BY FEDERAL, STATE, OR OTHER LAW-ENFORCEMENT AUTHORITIES, FOR ANY VIOLATION OF ANY FEDERAL LAW, STATE LAW, COUNTY OR MUNICIPAL LAW, REGULATION OR ORDINANCE?
(Do not include traffic violations. All other charges must be included even if they are dismissed. Give reason charged or held, date, place were charged and disposition.)
21.PROVIDE EMPLOYMENT HISTORY FOR THE PAST FIVE (5) YEARS
FROM
Month
Year
EMPLOYER’S NAME AND ADDRESS
POSITION
OATH
I DECLARE UNDER PENALTY OF PERJURY THAT THIS STATEMENT HAS BEEN EXAMINED BY ME, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IS TRUE, CORRECT, AND COMPLETE.
__________________________________
______________________________
_______________________________
Signature
Title
Date
(Must be signed by applicant)
I HEREBY CERTIFY_____________________________________ IS PERSONALLY KNOWN TO ME, THAT HE SIGNED HIS NAME
TO THE FOREGOING APPLICATION AFTER STATING TO ME THAT HE KNEW AND UNDERSTOOD ALL STATEMENTS AND ANSWERS MADE THEREIN, AND, UNDER OATH ACTUALLY ADMINISTERED BY ME, HAS SWORN THAT SAID STATEMENTS AND ANSWERS ARE TRUE.
THIS________________________ DAY OF ________________________, _________
_________________________________
Notary Public
__________________________________________________________________________________________________________
CONFIRMATION OF COMPANY
THE UNDERSTAND FIRM DOES HEREBY CONFIRM THE APPOINTMENT OF THE ABOVE NAMED APPLICANT, AS ITS SALES AND/OR REPRESENTATIVE FOR THE PURPOSE OF PROMOTING AND SELLING ITS PRODUCTS WITHIN THE STATE OF GEORGIA IN ACCORDANCE WITH GEORGIA LAW, AND THE REGULATIONS OF THE STATE OF GEORGIA’S REVENUE COMMISIONER.
________________________________
Signature of Company Official
Name of Company
(To be completed by licensed by Georgia Beverage and Alcohol Supplier or Distributor)
Affidavit of Compliance with O.C.G.A. 50-36-1 “Verification of Lawful Presence within the United States”
O.C.G.A. 50-36-1 requires that applicants applying for such things as licenses for public benefits complete a signed and sworn affidavit verifying the applicant’s lawful presence in the United States. Therefore, the applicant must answer the following questions:
The applicant is a United States citizen or legal permanent resident at least eighteen (18) years old.
Yes ______ No ______
The applicant is a qualified alien or nonimmigrant under the federal Immigration and Nationality Act, Title 8 U.S.C., as amended, at least eighteen (18) years old, and is lawfully present in the United States. The applicant’s alien number issued by the Department of Homeland Security or other federal immigration agency must be provided.
Alien Number ____________________________________
O.C.G.A 50-36-1 states that “Any person who knowingly and willfully makes a false, fictitious, or fraudulent statement of representation in an affidavit executed pursuant to this Code section shall be guilty of a violation of Code Section 16-10-20.”
I declare, under penalty of law, that this affidavit has been completed by me and is true and correct.
___________________________________________________________________________________________
(Must be signed by applicant. If the applicant is a corporation, must be signed by an officer of the corporation.
STAMPED SIGNATURE IS NOT ACCEPTABLE)
I hereby certify that__________________________________________________________ is personally known, or
verified by me, that the applicant signed this application after stating to me his or her personal knowledge and understanding of all statements and, under oath actually administered by me, has sworn that the statements and answers contained in this affidavit are true.
This _________ day of _____________, ______ .
_______________________________________
AFFIX SEAL
You must attach a copy of a secure and verifiable document as defined in O.C.G.A. 50-36-2. Such documents include a valid Georgia issued Driver's License or ID Card, a valid Driver's License issued by another State or an identification document issued by the United States Government.
Completing the Georgia ATT 15 form requires careful attention to detail. Each section must be filled out accurately to ensure timely processing. Following the steps below will guide you through the application process.
After submitting the form, be prepared for potential follow-up regarding your application. Ensure that all information is accurate to avoid delays in processing. If you have questions, assistance is available through the Georgia Department of Revenue.
The Georgia ATT 15 form is an application for an alcohol permit. It is specifically designed for salesmen or representatives of licensed wholesalers, importers, or brokers of alcoholic beverages, including wine and malt beverages. Each applicant must complete a separate form.
You will need to provide various details, including:
Yes, there is a fee for certain types of permits. For salesmen or representatives of licensed wholesalers or producers of distilled spirits, the fee is $10.00 per person. However, there is no fee for representatives of licensed wineries, breweries, or wholesalers of wine and malt beverages.
If you are applying as a salesman or representative of a licensed liquor wholesaler, you must complete and attach a Personal Statement (ATT-17) along with your application.
The GAPS is a fingerprinting process that all applicants must complete. After submitting your application, examiners will provide instructions on how to register for GAPS. There is a fee of $52.90 charged by Cogent Systems for fingerprinting.
Once you have completed the form, mail the original application to the Georgia Department of Revenue, Alcohol & Tobacco Division. Be sure to keep a copy for your records. The address is:
GEORGIA DEPT OF REVENUE ALCOHOL & TOBACCO DIVISION P.O. BOX 49728 ATLANTA, GEORGIA 30359
If the application is not properly signed, complete, or if applicable questions are not answered, processing will be delayed. Ensure that all sections are filled out accurately to avoid any issues.
If you have any questions or need assistance, you can call the Georgia Department of Revenue at (404) 417-4870. They can provide guidance on how to complete the application.
Yes, you must complete an affidavit verifying your lawful presence in the U.S. This is a requirement under Georgia law. You will need to answer specific questions and may need to provide documentation.
You can use a valid Georgia-issued Driver's License or ID card, a valid Driver's License from another state, or an identification document issued by the United States Government as proof of your lawful presence.
Neglecting to use blue ink: The instructions clearly state to type or print in blue ink. Using pencil or any other color can lead to rejection of the application.
Omitting the Georgia State Taxpayer Identifier: Line 1 requires this identifier. Leaving it blank, when applicable, can delay processing.
Incorrect business name or address: Ensure that the name and address match exactly with the registration on file with the Secretary of State. Any discrepancies can cause issues.
Failing to provide complete applicant information: Lines 4-11 require detailed personal information. Incomplete responses can lead to delays.
Not checking the correct permit type: Make sure to accurately check the type of permit you are applying for in Line 3. An incorrect selection can result in processing errors.
Ignoring previous employment history: Line 21 asks for a detailed employment history for the past five years. Missing this information can lead to complications.
Failure to notarize the application: The application must be signed and notarized. Without this step, the application will not be considered valid.
The Georgia ATT-15 form is essential for individuals seeking to obtain an alcohol permit in the state. However, there are several other documents that applicants may need to complete or submit alongside the ATT-15 to ensure compliance with state regulations. Understanding these documents can streamline the application process and help avoid delays.
Completing these forms accurately and submitting them alongside the Georgia ATT-15 will help facilitate a smoother application process. Be sure to review each document carefully and ensure that all required information is provided. This attention to detail can significantly impact the timely approval of your alcohol permit application.
The Georgia Form ATT-15 is similar to the Application for a Business License. Both documents require applicants to provide detailed personal and business information. They ask for the business name, address, and the applicant's identification, such as a Social Security number. Each form serves as a means to regulate business activities, ensuring that the appropriate checks are in place before a license is granted. Just as the ATT-15 focuses on alcohol permits, the business license application is essential for various types of businesses to operate legally within the state.
Another similar document is the Georgia Sales Tax Registration form. This form, like the ATT-15, collects information about the business and its owners. It ensures that businesses comply with state tax laws. Both forms require applicants to disclose their business structure, ownership details, and contact information. The sales tax registration is vital for businesses selling tangible goods, while the ATT-15 specifically addresses those involved in the alcohol industry.
The Personal Statement (ATT-17) is another document that shares similarities with the ATT-15. Both forms are necessary for individuals seeking to engage in regulated activities related to alcohol sales. The Personal Statement requires applicants to provide personal background information and any previous involvement with law enforcement. This helps authorities assess the suitability of the applicant for a permit, just as the ATT-15 does for alcohol sales representatives.
The Georgia Alcohol License Application is closely related to the ATT-15. This document is specifically for businesses seeking to obtain a license to sell alcohol. Both applications require similar information about the business and its owners, including their history and any previous licenses held. They ensure that applicants meet the legal requirements to operate in the alcohol industry and provide a framework for accountability.
The Georgia Permit Application for Food Service is another document that parallels the ATT-15. Both applications are designed to ensure that businesses comply with state regulations before they can operate. They require detailed information about the business, including ownership and operational history. While the ATT-15 focuses on alcohol permits, the food service permit application addresses health and safety standards for food establishments.
The Georgia Professional License Application also shares characteristics with the ATT-15. Both forms require personal and professional information from applicants. They are used to verify qualifications and ensure that individuals meet the necessary criteria to practice in their respective fields. This process helps maintain standards within regulated professions, similar to how the ATT-15 regulates the alcohol sales industry.
Lastly, the Georgia Employment Application is similar to the ATT-15 in that both documents gather information about an individual's background and qualifications. Employment applications often require details about previous employment, education, and personal information. This is akin to the ATT-15, which collects information about the applicant's work history and residency to evaluate their eligibility for an alcohol permit.
When filling out the Georgia ATT 15 form for an alcohol permit, there are important dos and don’ts to keep in mind. Here’s a helpful list:
Following these guidelines will help ensure your application process goes smoothly. If you have questions, don’t hesitate to reach out for assistance.
When it comes to the Georgia ATT 15 form, several misconceptions can lead to confusion for applicants. Here are five common myths, along with clarifications to help you navigate the process more smoothly.
Many believe that only business owners can apply for the ATT 15 form. In reality, anyone representing a licensed wholesaler, importer, or broker can apply, regardless of ownership status.
Some applicants think that any writing instrument will do. However, the instructions clearly state that the form must be completed in blue ink, as pencil is not acceptable.
While there is a fee for salesmen or representatives of licensed wholesalers or producers of distilled spirits, those representing licensed wineries or breweries often do not have to pay any fee at all. Always check the specific category you fall under.
Some applicants may think that a personal statement is optional. In fact, every salesman or representative applicant of a licensed liquor wholesaler must complete and attach a Personal Statement (ATT-17) to their application.
Many assume that fingerprinting is only for certain applicants. However, all salesman or representative applicants must complete the Georgia Automated Fingerprint Procedure (GAPS), regardless of their previous history.
Understanding these misconceptions can help streamline the application process and ensure compliance with Georgia's regulations. Always refer to the official instructions for the most accurate and detailed guidance.
When filling out the Georgia ATT 15 form for an alcohol permit, several key considerations will ensure the application process is smooth and efficient. Here are six essential takeaways:
By adhering to these guidelines, applicants can navigate the process with greater ease and confidence.