EduSpace
Homepage ⇨ Blank Georgia Att 15 PDF Form
Article Guide

The Georgia ATT-15 form is a critical document for individuals seeking to obtain a permit for the sale of alcoholic beverages in the state. This application is specifically designed for salesmen or representatives of licensed wholesalers, importers, or producers of distilled spirits, wine, and malt beverages. Each applicant must complete a separate form, ensuring that all information is accurately provided. Key sections of the form require applicants to disclose their Georgia State Taxpayer Identifier, business registration details, and personal information such as Social Security Number, date of birth, and residency history. Additionally, applicants must indicate the type of permit they are applying for and provide relevant employment history. The form also includes questions about previous involvement with government authorities, which must be answered truthfully. Notably, certain fees apply depending on the type of permit, and applicants must also complete a Personal Statement and undergo fingerprinting as part of the application process. It is essential that the form is filled out completely and accurately, as any discrepancies can delay processing. The urgency of adhering to these guidelines cannot be overstated, as timely submission is crucial for those looking to enter the alcohol sales industry in Georgia.

Document Preview

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

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)

GEORGIA DEPT OF REVENUE ALCOHOL & TOBACCO DIVISION P.O. BOX 49728

ATLANTA, GEORGIA 30359

OFFICE USE

Promotional

APPLICATION FOR ALCOHOL PERMIT

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

[] 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.

CITY

 

STATE

 

ZIP CODE

 

COUNTY

COUNTRY

 

 

 

 

 

 

 

 

 

 

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

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.)

ATT-15 (REV. 5/11)

APPLICATION FOR ALCOHOL PERMIT

OFFICE USE

ONLY

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

Title

_________________________________

_______________________________

Name of Company

Date

(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.

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 declare, 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.

➤ PDF File

Form Specifications

Fact Name Fact Description
Form Purpose The ATT-15 form is used to apply for an alcohol permit for salesmen or representatives.
Taxpayer Identifier Applicants must provide their Georgia State Taxpayer Identifier in Line 1.
Business Registration Line 2 requires the name and address of the business as registered with the Secretary of State.
Permit Types Applicants must check the type of permit they are applying for in Line 3.
Residency Information Information about residency, including years at the current address, is required in Lines 8 and 9.
Employment History Line 21 asks for employment history over the past five years.
Fees The fee for certain permits is $10.00, while others have no fee.
Notarization Requirement The application must be signed by the applicant and notarized.
Governing Law This form is governed by Georgia law, specifically O.C.G.A. 50-36-1.

Georgia Att 15: Usage Guidelines

After completing the Georgia ATT 15 form, you will need to ensure it is properly signed and notarized before mailing it to the Georgia Department of Revenue. Be mindful of any fees that may apply and confirm all required information is accurate to avoid delays in processing.

  1. Enter your Georgia State Taxpayer Identifier in Line 1. Leave it blank if you do not have one.
  2. In Line 2, provide the legal name and address of your business as registered with the Secretary of State. If not registered, use the name under which you own property or acquire debt.
  3. Check the type of permit you are applying for in Line 3.
  4. Complete Lines 4-11 with the applicant's information, including Social Security Number, name, date of birth, home address, email, fax number, home telephone number, years of residency, and previous home address.
  5. In Line 12, enter the previous home address.
  6. Line 13 requires the number of years the applicant has been employed by the company identified in Lines 1 and/or 2.
  7. In Line 14, check “Yes” or “No” regarding any interest in other alcoholic beverage businesses.
  8. If Line 14 is “Yes,” provide the required information for each business in Lines 15-19, including State Taxpayer Identifier, business name, alcohol license number, business location address, and business telephone number.
  9. Line 20 asks for information about any previous involvement with government authorities.
  10. In Line 21, provide employment history for the past five years, including month and year employed, previous employer's name and address, and position held.
  11. Sign the application and ensure it is notarized as required.
  12. Prepare payment for any applicable fees, making checks or money orders payable to the Georgia Department of Revenue.
  13. Mail the completed application to the address provided: Georgia Dept of Revenue, Alcohol & Tobacco Division, P.O. Box 49728, Atlanta, Georgia 30359.

Your Questions, Answered

What is the Georgia ATT 15 form used for?

The Georgia ATT 15 form is an application for an alcohol permit. It is specifically designed for salesmen or representatives who wish to sell alcoholic beverages in the state of Georgia. Each applicant must submit a separate application.

How do I complete the ATT 15 form?

When filling out the ATT 15 form, use blue ink and type or print clearly. Start by entering your Georgia State Taxpayer Identifier, followed by the registered business name and address. Then, check the type of permit you are applying for and provide personal information about yourself, including your Social Security Number, date of birth, and contact details. Make sure to answer all questions completely and accurately.

What are the fees associated with the ATT 15 form?

For most salesmen or representatives of licensed wholesalers or producers of distilled spirits, a fee of $10.00 is required. However, there is no fee for those representing licensed wholesalers of wine or malt beverages. Ensure that payment is made via check or money order, payable to the Georgia Department of Revenue.

Do I need to provide additional documents with my application?

Yes, if you are a salesman or representative of a licensed liquor wholesaler, you must complete and attach a Personal Statement (ATT-17) and go through the Georgia Automated Fingerprint Procedure (GAPS). There is a fingerprinting fee of $52.90 charged by Cogent Systems, which must be paid at the time of registration.

What happens if I do not complete the form correctly?

Incomplete or improperly signed applications will delay processing. It is crucial to ensure all information is provided and that you have signed the application. If you have questions while filling out the form, you can call the Georgia Department of Revenue for assistance.

Where do I send my completed ATT 15 form?

Once you have completed the ATT 15 form, mail the original to the Georgia Department of Revenue, Alcohol & Tobacco Division, at P.O. Box 49728, Atlanta, Georgia 30359. Keep a copy for your records, as it may be needed for future reference or inspection.

How long does it take to process the application?

The processing time can vary. However, ensuring that your application is complete and correctly signed will help expedite the process. If you have concerns about the timeline, it is best to reach out to the Georgia Department of Revenue directly.

Common mistakes

  1. Using Pencil Instead of Blue Ink: The instructions clearly state to type or print in blue ink. Using pencil can lead to illegibility and may result in your application being rejected.

  2. Failing to Provide a Separate Application: Each applicant must submit their own form. If you attempt to submit multiple applicants on a single form, it will not be processed.

  3. Incomplete Information: Omitting required details, such as the Social Security Number or previous home address, can delay processing. Ensure every line is filled out completely and accurately.

  4. Neglecting to Sign and Notarize: The application must be signed by the applicant and notarized. A missing signature or notary can halt the entire process.

  5. Incorrect Payment Method: Ensure that payment is made via check or money order payable to the Georgia Department of Revenue. Using other forms of payment may result in rejection.

  6. Not Attaching Required Documents: If applicable, failing to include the Personal Statement (ATT-17) or necessary identification documents can lead to delays. Always double-check your attachments.

  7. Ignoring Previous Involvement with Authorities: Be honest about any past arrests or charges. Omitting this information, even if dismissed, can lead to complications later in the application process.

Documents used along the form

The Georgia ATT-15 form is an important document for individuals seeking a permit to sell alcoholic beverages in the state. However, it is often accompanied by other forms and documents that are essential for the application process. Below is a list of six commonly used forms and documents that applicants may need to submit along with the ATT-15 form.

  • Personal Statement (ATT-17): This document is required for each salesman or representative applying for a permit. It provides personal information about the applicant and their qualifications for the position.
  • Georgia Automated Fingerprint Procedure (GAPS): Applicants must complete this process to undergo a background check. This step is crucial for ensuring compliance with state regulations regarding the sale of alcohol.
  • Affidavit of Compliance with O.C.G.A. 50-36-1: This affidavit verifies the applicant's lawful presence in the United States. It is a legal requirement for those applying for licenses or permits.
  • Employment History Form: This document details the applicant's employment history for the past five years. It helps authorities assess the applicant's background and reliability.
  • Payment Receipt: A receipt for the applicable fees must be included. This shows that the applicant has paid any required fees associated with the permit application.
  • Secure and Verifiable Document: A copy of a valid identification document, such as a Georgia Driver's License or a U.S. Government-issued ID, must be attached to the application for verification purposes.

Submitting the ATT-15 form along with these additional documents helps ensure a smooth application process. Each document plays a vital role in demonstrating the applicant's qualifications and compliance with state laws. Proper preparation and attention to detail can significantly enhance the likelihood of a successful application.

Similar forms

  • Georgia ATT-17 Personal Statement: This document is required for applicants seeking to become salesmen or representatives of licensed wholesalers. Like the ATT-15, it gathers personal information and requires a signature, ensuring that applicants are properly vetted for their roles in the alcohol industry.
  • Georgia Alcohol License Application: Similar to the ATT-15, this application is used by businesses seeking to obtain an alcohol license. It collects detailed information about the business and its owners, ensuring compliance with state regulations.
  • Georgia Business Registration Form: This form registers a business with the Secretary of State, capturing essential details about the business structure and ownership. Both forms require the legal name and address of the business, linking them in purpose and need for accurate information.
  • Georgia Taxpayer Identification Number Application: This application is necessary for businesses to obtain a taxpayer ID. Like the ATT-15, it requires the submission of identifying information to ensure compliance with tax regulations.
  • Georgia GAPS Registration: This document is part of the fingerprinting process for applicants in the alcohol industry. It shares similarities with the ATT-15 by requiring personal details and background checks to ensure that applicants meet legal standards.
  • Georgia Affidavit of Compliance: This affidavit confirms the lawful presence of applicants in the U.S. It aligns with the ATT-15 in that it necessitates a sworn statement and verification of identity, emphasizing the importance of legal compliance in the application process.

Dos and Don'ts

When filling out the Georgia ATT-15 form, there are important guidelines to follow. Adhering to these can help ensure your application is processed smoothly.

  • Use blue ink when typing or printing your information. Avoid using pencil.
  • Provide a separate application for each applicant.
  • Double-check all entries for accuracy before submission to avoid delays.
  • Sign the application and ensure it is notarized as required.
  • Retain a copy of the application for your records and for possible future reference.

Conversely, there are also things you should avoid:

  • Do not leave any required fields blank unless specified otherwise.
  • Avoid using white-out or correction fluid on the form.
  • Do not submit the application without the appropriate payment, if applicable.
  • Do not forget to include any additional documentation that may be required.
  • Do not mail the application without confirming the address

Misconceptions

Misconceptions about the Georgia ATT 15 form can lead to confusion and delays in obtaining the necessary alcohol permit. Here are six common misconceptions:

  • Only one application is needed for multiple applicants. Each applicant must submit a separate ATT 15 application. This ensures that all personal information is accurately recorded.
  • The application can be filled out in pencil. The form must be completed using blue ink only. Using pencil can result in rejection of the application.
  • There is no fee for any type of permit. While some permits are free, others, such as those for salesmen or representatives of licensed wholesalers of distilled spirits, require a $10 fee.
  • Previous arrests do not need to be disclosed. All previous arrests must be reported, even if they were dismissed. Failing to do so can lead to complications in the application process.
  • Fingerprinting is optional for applicants. Fingerprinting is mandatory for salesmen or representatives of licensed liquor wholesalers. This process includes a fee that must be paid at the time of registration.
  • Notarization is not necessary. The application must be signed by the applicant and notarized to be considered valid. Missing this step can delay processing.

Understanding these misconceptions can help streamline the application process and ensure compliance with Georgia's regulations regarding alcohol permits.

Key takeaways

Filling out the Georgia ATT 15 form requires attention to detail and adherence to specific instructions. Here are key takeaways to consider:

  • Use blue ink to type or print the application. Avoid using pencil.
  • Each applicant must have a separate form. Do not combine multiple applicants on one form.
  • Provide your Georgia State Taxpayer Identifier in Line 1. If you do not have one, leave it blank.
  • In Line 2, enter the legal name and address of your registered business. If not registered, use the name under which you own property or acquire debt.
  • Clearly check the type of permit you are applying for in Line 3. Ensure it matches your business activity.
  • Fill in personal details about the applicant in Lines 4-11, including Social Security Number, date of birth, and contact information.
  • If applicable, provide information about other alcoholic beverage businesses in which the applicant has an interest in Lines 15-19.
  • Be honest when disclosing any previous involvement with law enforcement in Line 20. This includes all charges, even if dismissed.
  • Sign the application and have it notarized. This step is crucial for processing.
  • Attach a Personal Statement (ATT-17) and complete the Georgia Automated Fingerprint Procedure (GAPS) if required. A fee will apply for fingerprinting.

Follow these guidelines closely to avoid delays in processing your application. Retain a copy of the completed form for your records, and mail the original to the specified address. If you have questions, contact the Georgia Department of Revenue for assistance.