Outline
The Georgia ATT 15 form is a crucial document for individuals seeking a permit to engage in the sale of alcoholic beverages within the state. This application is specifically designed for salesmen or representatives working for licensed wholesalers, importers, or brokers of wine and malt beverages, as well as those affiliated with licensed wineries or breweries. Each applicant must complete a separate form, ensuring that all information is clearly printed in blue ink. Key sections of the form require applicants to provide their Georgia State Taxpayer Identifier, business registration details, and personal information including social security number, date of birth, and contact information. Additionally, applicants must disclose their employment history and any previous involvement with government authorities. The form also includes specific sections for detailing any interests in other alcoholic beverage businesses. Notably, there are different fees associated with various types of permits, with some categories exempt from fees. Proper completion of this form is essential, as any missing information or lack of required signatures can lead to delays in processing. Understanding the instructions and requirements is vital for a smooth application process.
Sample - Georgia Att 15 Form
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
* 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.
* Fax number
APPLICATION FOR ALCOHOL PERMIT
* Month and year employed from
* Name of previous employer
* Address of previous employer
* Position applicant held
Line 21 Provide the following employment history information:
ATT-15 (Rev. 5/11)
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.
ATT-15 (Rev. 5/11)
ATT-15 (Rev. 5/11)
GEORGIA DEPT OF REVENUE
ALCOHOL & TOBACCO DIVISION
P.O. BOX 49728
ATLANTA, GEORGIA 30359
APPLICATION FOR ALCOHOL PERMIT
OFFICE USE
Promotional
OFFICE USE
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
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)
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?
15. STI NUMBER LEGAL BUSINESS NAME ALCOHOLIC LICENSE
16. NUMBER AND STREET ADDRESS (Business)
17. NUMBER AND STREET ADDRESS (Additional Space)
18. CITY STATE ZIP CODE COUNTY COUNTRY
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.)
[ ] SALESMAN OR REPRESENTATIVE OF A LICENSED WHOLESALER OF MALT BEVERAGES - NO FEE
12. CITY STATE ZIP CODE COUNTY COUNTRY
( )
[ ] YES [ ] NO (if “Yes”, provide the following):
( )
( )
( )
__________________________________________________________________________________________________________
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 Title
_________________________________ _______________________________
Name of Company
Date
ATT-15 (Rev. 5/11)
APPLICATION FOR ALCOHOL PERMIT
OFFICE USE
ONLY
21. PROVIDE EMPLOYMENT HISTORY FOR THE PAST FIVE (5) YEARS
FROM
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
(To be completed by licensed by Georgia Beverage and Alcohol Supplier or Distributor)
Month Year
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., a
s 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.
Yes ______ No ______ 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 declar
e, under penalty of law, that this affidavit has been completed by me and is true and correct.
__________________________________________________________________________________________
_
Signature Title Date
(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 _____________, ______ . _______________________________________
Notary Public
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.
Form Information
| Fact Name | Details |
|---|---|
| Form Purpose | The Georgia ATT 15 form is used to apply for a permit for salesmen or representatives involved in the sale of alcoholic beverages. |
| Governing Law | The application is governed by Georgia state law related to the sale of alcoholic beverages. |
| Taxpayer Identifier | Applicants must enter their Georgia State Taxpayer Identifier in Line 1. If they do not have one, this line can be left blank. |
| Business Registration | Line 2 requires the legal name and address of the business as registered with the Secretary of State. If unregistered, the name under which the business operates should be provided. |
| Permit Types | Applicants must check the appropriate box in Line 3 to indicate the type of permit they are applying for, which may include various categories of alcohol sales. |
| Personal Information | Lines 4-11 collect personal information about the applicant, including their Social Security Number, date of birth, and contact details. |
| Employment History | Line 21 requires the applicant to provide employment history for the past five years, including previous employers and positions held. |
| Fees | There is no fee for certain types of permits, while others require a fee of $10.00. Payment must be made by check or money order to the Georgia Department of Revenue. |
| Fingerprinting Requirement | Applicants must complete the Georgia Automated Fingerprint Procedure (GAPS) and pay a fee of $52.90 for fingerprinting. |
| Notarization | The application must be signed by the applicant and notarized to be considered valid. This ensures the information provided is truthful and complete. |
Detailed Guide for Filling Out Georgia Att 15
Completing the Georgia ATT 15 form is a straightforward process that requires attention to detail. Each section of the form asks for specific information about the applicant and their business. Following the steps below will help ensure that the application is filled out correctly, which is crucial for timely processing.
- Line 1: Enter your Georgia State Taxpayer Identifier. If you do not have one, leave this line blank.
- Line 2: Provide the name and address under which your business is registered with the Secretary of State. If your business is not registered, enter the name under which your business owns property or acquires debt.
- Line 3: Check the box for the type of permit you are applying for.
- Lines 4-11: Fill in the following applicant information: Social Security Number, Name, Date of Birth, Home Address, Email, Fax Number, Home Telephone Number, Number of Years of Residency, and Previous Home Address.
- Line 12: Enter your previous home address.
- Line 13: Indicate the number of years you have been employed by the company identified in Lines 1 and/or 2.
- Line 14: Check “Yes” or “No” regarding any interest in other alcoholic beverage businesses.
- Lines 15-19: If you answered "Yes" to Line 14, provide information for each alcoholic beverage business in which you have an interest, including State Taxpayer Identifier, Name of Business, Alcohol License Number, Business Location Address, and Business Telephone Number.
- Line 20: Provide details regarding any previous involvement with government authorities.
- Line 21: List your employment history for the past five years, including Month and Year Employed From, Employer’s Name and Address, and Position Held.
- Signature: Sign the application and have it notarized. Ensure that the application is signed by the applicant.
- Payment: If applicable, include a check or money order for the appropriate fee made payable to the Georgia Department of Revenue.
- Mailing: Retain a copy for your records and mail the original application to the Georgia Department of Revenue, Alcohol & Tobacco Division, at the provided address.
Once the form is completed and submitted, it will be reviewed by the appropriate authorities. If any additional information is needed, you may be contacted. Be sure to keep a copy of your application for your records, as it may be required for future reference.
Obtain Answers on Georgia Att 15
-
What is the purpose of the Georgia ATT 15 form?
The Georgia ATT 15 form is used to apply for a permit for salesmen or representatives involved in the sale of alcoholic beverages. Each applicant must complete a separate application. This form helps ensure that individuals selling alcohol comply with state regulations.
-
How do I complete the ATT 15 form?
When filling out the form, it’s important to use blue ink and type or print clearly. Start by entering your Georgia State Taxpayer Identifier, followed by your business name and address. Make sure to check the appropriate type of permit you are applying for. You will also need to provide personal details such as your Social Security Number, date of birth, and contact information. Be thorough and accurate, as incomplete applications can lead to delays.
-
Are there any fees associated with the ATT 15 application?
Yes, there are fees depending on the type of permit you are applying for. For example, there is a $10.00 fee for salesmen or representatives of licensed wholesalers of distilled spirits. However, there is no fee for salesmen or representatives of licensed wholesalers of wine or malt beverages. Payment should be made via check or money order to the Georgia Department of Revenue.
-
What additional steps are required after submitting the ATT 15 form?
In addition to completing the ATT 15 form, applicants who are salesmen or representatives of licensed liquor wholesalers must also complete a Personal Statement (ATT-17) and undergo fingerprinting through the Georgia Automated Fingerprint Procedure (GAPS). A fee of $52.90 applies for fingerprinting, and applicants will receive instructions on how to complete this process after submitting their application.
-
What should I do if I have questions about the application process?
If you have any questions or need assistance while completing the ATT 15 form, you can reach out to the Georgia Department of Revenue’s Alcohol & Tobacco Division at (404) 417-4870. They can provide guidance and clarify any uncertainties you may have regarding the application.
-
What happens if my application is incomplete?
The processing of your application will be delayed if it is not properly signed or if any required information is missing. It is crucial to ensure that all sections are completed and that you answer all applicable questions. Always keep a copy of your application for your records and for any potential inspections by the Revenue Commissioner.
Common mistakes
Filling out the Georgia ATT-15 form can be straightforward, but many applicants make common mistakes that can delay the processing of their application. Understanding these pitfalls can help ensure a smoother experience.
One frequent error is failing to provide a Georgia State Taxpayer Identifier in Line 1. Some applicants leave this section blank, thinking it is optional. However, if you have a taxpayer identifier, it is crucial to include it. If you do not have one, simply leave it blank as instructed.
Another mistake involves the business name and address. In Line 2, applicants often enter incorrect information or fail to match the name with what is registered with the Secretary of State. It is essential to ensure that the name and address align with official records. If the business is not registered, use the name under which the business owns property or incurs debt.
Many applicants also overlook the requirement to check the correct type of permit in Line 3. This oversight can lead to confusion and potential rejection of the application. Be sure to review the options carefully and select the one that accurately reflects your application.
Providing incomplete information about the applicant is another common error. Lines 4-11 ask for specific details, including Social Security Number, date of birth, and home address. Omitting any of this information can result in delays. It is best to double-check that all fields are filled out completely and accurately.
Some individuals forget to sign the application or have it notarized. The instructions clearly state that the application must be signed by the applicant and duly notarized. Neglecting this step can halt the entire process, so ensure that you complete this requirement before submission.
Lastly, applicants often fail to include the required payment or provide incorrect payment methods. The form specifies the fees associated with different types of permits. Be sure to include a check or money order made out to the Georgia Department of Revenue, and confirm that you are using the correct payment method based on your permit type.
By being aware of these common mistakes, applicants can avoid unnecessary delays and ensure their applications are processed efficiently.
Documents used along the form
When applying for an alcohol permit in Georgia, several other forms and documents may be required alongside the Georgia ATT 15 form. Each document serves a specific purpose in ensuring compliance with state regulations. Below is a list of commonly used forms that applicants might encounter.
- Personal Statement (ATT-17): This document must be completed by each salesman or representative applying for a permit. It provides personal details and background information about the applicant, helping authorities assess eligibility for the alcohol permit.
- Georgia Automated Fingerprint Procedure (GAPS): This is a mandatory process for applicants. It involves submitting fingerprints to the Georgia Bureau of Investigation for a background check. The fee for this service is $52.90, and it ensures that applicants have no disqualifying criminal history.
- Affidavit of Compliance with O.C.G.A. 50-36-1: This affidavit verifies the applicant’s lawful presence in the United States. It requires the applicant to affirm their citizenship status or legal residency, which is crucial for obtaining a permit.
- Secure and Verifiable Document: Applicants must attach a copy of a secure document, such as a valid Georgia driver's license or a U.S. government-issued ID. This requirement helps confirm the identity of the applicant and ensures compliance with state laws.
Each of these forms plays a vital role in the application process. Ensuring that all documents are completed accurately and submitted on time can help avoid delays in obtaining the necessary alcohol permit.
Similar forms
- Georgia Form ATT-17: Personal Statement - Similar to the ATT-15, this form is required for salesmen or representatives applying for an alcohol permit. It collects personal information about the applicant, including their background and involvement in the alcohol industry.
- Georgia Form GAPS: Georgia Automated Fingerprint Procedure - This document is necessary for applicants seeking to obtain a permit. It ensures that the applicant undergoes a background check, similar to the verification processes outlined in the ATT-15 form.
- Georgia Alcohol License Application - This application is for businesses seeking a license to sell alcohol. Like the ATT-15, it requires detailed information about the business and its owners, ensuring compliance with state regulations.
- Georgia Business Registration Application - This form registers a business with the Secretary of State. It shares similarities with the ATT-15 in that both require the legal name of the business and the owner’s information.
- Georgia Sales Tax Registration - This document is needed for businesses that will collect sales tax. Similar to the ATT-15, it requires the business's taxpayer identifier and basic business information.
- Georgia Employment Verification Form - This form is used to verify an applicant's employment history. It parallels the ATT-15 by requiring detailed employment information, including previous employers and positions held.
Dos and Don'ts
When filling out the Georgia ATT 15 form, there are several important dos and don’ts to keep in mind. Following these guidelines can help ensure that your application is processed smoothly and efficiently.
- Do type or print your information clearly in blue ink. Avoid using pencil.
- Do provide a separate application for each applicant. Each individual needs their own form.
- Do check the type of permit you are applying for and ensure it is clearly marked on the form.
- Do include your Social Security Number and other required personal information accurately.
- Don't leave any required fields blank. Incomplete applications may be delayed or rejected.
- Don't forget to sign the application and have it notarized. An unsigned application cannot be processed.
- Don't provide false information. Misrepresentations can lead to legal consequences.
- Don't forget to attach any necessary additional documents, such as the Personal Statement (ATT-17) and a copy of a secure document for verification.
Misconceptions
Misconception 1: The Georgia ATT 15 form can be completed in pencil.
This is incorrect. The instructions clearly state that applicants must type or print in blue ink. Using pencil is not acceptable and may lead to delays in processing.
Misconception 2: Only businesses registered with the Secretary of State can apply for an alcohol permit.
This is misleading. While registered businesses need to provide their registered name and address, sole proprietors or businesses not registered can still apply by entering the name under which they own property or acquire debt.
Misconception 3: There is always a fee associated with applying for the ATT 15 form.
This is not true. Certain categories, such as salesmen or representatives of licensed wholesalers of wine or malt beverages, do not require a fee. Understanding the specific category is essential to determine if a fee applies.
Misconception 4: The application does not require notarization.
This is false. The application must be signed by the applicant and duly notarized. Failing to do so will result in delays or rejection of the application.
Key takeaways
The Georgia ATT-15 form is essential for obtaining an alcohol permit. Here are key takeaways to consider when filling out and using this form:
- Separate Applications: Each applicant must submit a separate ATT-15 form.
- Type or Print: Always type or print in blue ink; avoid using pencil.
- Taxpayer Identifier: Line 1 requires your Georgia State Taxpayer Identifier. If you do not have one, leave it blank.
- Business Information: Provide the registered name and address of your business in Line 2. If not registered, use the name under which you own property or incur debt.
- Permit Type: Clearly check the type of permit you are applying for in Line 3.
- Personal Details: Lines 4-11 ask for personal information about the applicant, including Social Security Number and residency details.
- Employment History: Line 21 requires a detailed employment history for the past five years.
- Fees: Note that there is no fee for certain permits, while others require a $10.00 fee. Payment must be made to the Georgia Department of Revenue.
- Notarization Required: The application must be signed by the applicant and notarized to be valid.
Completing the form accurately and thoroughly is crucial. Incomplete applications may lead to delays in processing.