Dekalb County License Application PDF Details

Diving into the Dekalb County Privilege License Application form unveils a comprehensive procedure designed to ensure that every business entity meets the local regulatory standards before obtaining permission to operate within Dekalb County, Georgia. This meticulous document not only mandates the disclosure of essential personal and business information, such as the licensee’s full name, date of birth, social security number, business name, and location, but also delves deeper, requiring specifics on the type of business, ownership details, and the nature of alcoholic beverage licenses sought. The form stretches further to include a requirement for a notarized signature by the licensee, affirming the truthfulness and accuracy of the provided information, underscored by the warning of potential criminal penalties for false statements. Applicants are guided through a process that involves selecting the appropriate license type based on their business operations, whether retail, wholesale, or for consumption on the premises, aligning with an administrative structure that calculates fees based on a variety of factors including the time of year and specific business activities. Additionally, the form acknowledges the diversity in business models by incorporating sections for background investigations and Sunday sales permits, pointing towards an integrated approach to regulate and support businesses in maintaining compliance with county laws, especially regarding alcoholic beverage sales. Through specifying payment instructions and highlighting the necessity for ancillary documents such as floor plans for certain types of establishments, the application embodies a thorough vetting process, reinforcing Dekalb County’s commitment to upholding public safety and order in its business landscape.

QuestionAnswer
Form NameDekalb County License Application
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdekalb county business license, dekalb business license renewal, dekalb county business license renewal application 2021, dekalb county business registration 2021 renewal application

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DEKALB COUNTY PRIVILEGE LICENSE APPLICATION

INSTRUCTIONS: Every question must be answered fully and correctly. If the space provided is not sufficient, answer the question on a separate sheet and indicate in that space that a separate sheet is attached. When completed, it must be dated, signed by the licensee and notarized. The application and all requested documents shall be filed with the Finance Department, Division of Internal Audit and Licensing, at 1300 Commerce Drive, 5th Floor, Decatur, Georgia 30030.

Business License Number (if applicable):

Licensee’s Full Name (must be a person)Date of BirthSocial Security #Home Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

Licensee’s Home Address

 

 

 

 

City, State and Zip Code

 

County of Residence

 

 

 

 

 

 

 

 

 

 

 

 

 

Business Name

 

 

 

Business Location

 

 

 

 

City, State & Zip Code

 

Business Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

Mailing Name and Complete Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check One: ( ) 1 - New Location

(

 

) 2 - New Licensee

(

)

3 - New Ownership ( ) 4 - Other – Specify Type of Changes

 

 

 

 

 

Type of Ownership: ( ) Single Proprietor ( ) Corporation or LLC

( ) Partnership

(

) Association

 

Corporate Name:

 

 

 

 

Month & Year of Inc.

State Where Inc.

 

Type of Business:

(

)

4

- Grocery with Ga

(

)

8

- Importer

(

) 12 - Brew Pub

 

(

)

1

- Package / Liquor Store

(

)

5

- Supermarket

(

)

9

- Wholesaler

(

) 13 - Manufacturing (

) Beer

(

)

2

- Restaurant

(

)

6

- Country Club

(

)

10

- Charitable/Non-Profit Org

 

 

(

) Wine

(

)

3

- Drive In Grocery

(

)

7

- Fraternal

(

)

11

- Nude Dance Club

 

 

(

) Liquor

 

Type of License:

(

) 1 - Retail Package

 

 

( ) 2 - Wholesaler

 

( ) 3 - Consumption

( ) 4 - Importer

 

 

Licenses are issued only for the remaining months in the calendar year and partial months are counted as a full month.

 

 

Type of License Delivery:

(

)

Mail

(

)

Pickup

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Administrative Fees

 

 

 

 

 

 

Flat Fee

 

 

 

Admin Fee Due

 

 

 

( ) Admin Fee - Beer and/or Wine

 

 

 

$ 100.00

 

 

 

___________________

 

 

 

(

) Admin Fee - Liquor

 

 

 

 

 

 

$ 200.00

 

 

 

___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal Admin Fee(s)

___________________

 

 

License Fees

 

 

 

 

 

 

Monthly Fees

 

Number of Months

 

License Fee Due

 

 

 

(

) Beer Only (

) Wine Only

 

 

 

$

50.00

x

_______________

=

___________________

 

 

 

( ) Beer & Wine Combination

 

 

 

 

$

75.00

x

_______________

=

___________________

 

 

 

( ) Liquor – Package or C.O.P.

 

 

 

$ 250.00

x

_______________

=

___________________

 

 

 

(

) Additional Fixed Bar(s)

 

# ___________

X

$

50.00

x

_______________

=

___________________

 

 

 

(

) Additional Movable Bar(s)

# ___________

X

$

25.00

x

_______________

=

___________________

 

 

 

(

) Sunday Sales

 

 

 

 

 

 

 

$

91.66

x

_______________

=

___________________

 

 

 

(

) Brew Pub -

Malt Beverage Only

 

 

$ 100.00

x

_______________

=

___________________

 

 

 

 

 

 

 

 

 

 

 

 

Flat Fees

 

 

 

License Fee Due

 

 

 

(

) Wholesaler/Importer

(

)

Beer

(

) Wine

 

$

600.00

Each

 

 

___________________

 

 

 

(

) Wholesaler/Importer - Liquor

 

 

 

$3000.00

 

 

 

___________________

 

 

 

( ) Fraternal Org - Beer and/or Wine

 

 

 

$ 500.00

 

 

 

___________________

 

 

 

(

) Fraternal Org - Liquor

 

 

 

 

 

 

$1000.00

 

 

 

___________________

 

 

 

(

) Manufacturing

 

(

) Beer

(

) Wine

 

$1200.00

Each

 

 

___________________

 

 

 

(

) Manufacturing - Liquor

 

 

 

 

 

$ 3000.00

 

 

 

___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number of Days

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Daily Fees

 

(2 Day Maximum)

 

License Fee Due

 

 

 

( ) Charitable Non-Profit Org – Beer and/or Wine

 

$

50.00

x

_______________

=

___________________

 

 

 

( ) Charitable Non-Profit Org – Liquor

 

 

$

50.00

x

_______________

=

___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal License Fee(s)

___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Due (Admin Fee + License Fee)

___________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Make check payable to DeKalb County Revenue and Licensing.

 

 

Background Investigation Fee

 

Per Person Fee

 

Number of People

 

Fee Due

 

 

 

(

) Background Investigation

 

 

 

 

 

$

50.00

x

_______________

=

___________________

 

 

Make separate check payable to DeKalb County Public Safety.

Sunday Sales Permits are only issued to eating establishments. New establishments are given up to six (6) months to comply with the minimum food sales requirements. Food sales must be at least 60% of total annual food & alcohol sales.

This application must be executed under oath and the applicant is subject to criminal penalties for false swearing. The application includes all attachments and forms that are required for processing of this application. I, ____________________________________,

the licensee, do solemnly swear that the answers and statement on this application and attachments are true and correct and that no false or fraudulent statements are made herein to obtain an alcoholic beverage license.

___________________________________

__________

_________________________________

______________

Signature of Applicant / Licensee

Date

Signature of Notary Public

Date

 

 

Stamp Notary Seal in this Area

 

Application – Page 2

1.Will you have entertainment? ________ If yes, describe in detail ____________________________________________________

________________________________________________________________________________________________________

________________________________________________________________________________________________________

2.Does the licensee, partner, corporation or owner have any ownership interest in any other licensed alcoholic beverage business in the State of Georgia? If yes, give name of that person, name of business and complete address of business. ________________

________________________________________________________________________________________________________

3.List the full name, address and other pertinent information for each person having any ownership interest in this business, corporate officers or partners:

Name:

Social Security #:

Date Of Birth:

Home Address:

City:

State:

 

 

 

Zip Code:

Dollar Investment in Business:

Percent of Interest:

 

 

 

Name:

Social Security #:

Date Of Birth:

Home Address:

City:

State:

Zip Code:

Dollar Investment in Business:

Percent of Interest:

Name:

Social Security #:

Date Of Birth:

Home Address:

City:

State:

 

 

 

Zip Code:

Dollar Investment in Business:

Percent of Interest:

 

 

 

Name:

Social Security #:

Date Of Birth:

Home Address:

City:

State:

 

 

 

Zip Code:

Dollar Investment in Business:

Percent of Interest:

 

 

 

4.List name and address of the owners of the building and land and the name and address of the lessor or sub-lessor:

NameStreet Address City – State – Zip Amount of Rent Due Owner Building __________________________________________________________________________________________

Owner of Land __________________________________________________________________________________________

Lessor ___________________________________________________________________________________________

Sub-Lessor ___________________________________________________________________________________________

5.How much money is being invested in the business? Total amount of money paid _________________________

6.How much of the money being invested is borrowed and from whom? Show total amount borrowed ______________________

Name of Bank, Business or Person Street AddressCity-State-Zip Code

________________________________________________________________________________________________________

________________________________________________________________________________________________________

7.Name and home address of the manager of this business:

________________________________________________________________________________________________________

8.Have you attached a copy of the floor plans of this business showing inside layout of the store, including entrance(s) and exit(s). Nightclubs and restaurants needs to show kitchen, bathrooms, dining areas, entertainment area and any offices. Yes _________

9.If this is a corporation, Limited Liability Company or a partnership, please attach copies of the state Certificate of Incorporation along with copies of your corporate, LLC or partnership papers showing the officers.

10.Have you attached two (2) registered agent forms with pictures of the agent? ______________

11.Have you received a copy of the DeKalb County Alcoholic Beverage Ordinance? ___________ No application can be processed until you acknowledge receipt of the County Ordinance (rules and regulations).

____________________________________

________________________________________

_____________________

Print name of applicant / licensee

Signature of applicant / licensee

Date

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dekalb county division interal audit and license blanks to consider

Write down the details in the License Fee Due, Flat Fees, Charitable NonProfit Org Beer, Daily Fees Day Maximum License, Number of Days, Make check payable to DeKalb, Subtotal License Fees, Total Due Admin Fee License Fee, Background Investigation Fee, Per Person Fee Number of People, Make separate check payable to, and Sunday Sales Permits are only area.

dekalb county division interal audit and license License Fee Due, Flat Fees, Charitable NonProfit Org  Beer, Daily Fees  Day Maximum License, Number of Days, Make check payable to DeKalb, Subtotal License Fees, Total Due Admin Fee  License Fee, Background Investigation Fee, Per Person Fee Number of People, Make separate check payable to, and Sunday Sales Permits are only blanks to fill

Write the important information once you are within the Application Page, Will you have entertainment If, Does the licensee partner, the State of Georgia If yes give, List the full name address and, corporate officers or partners, Dollar Investment in Business, Social Security, Name Home Address City Zip Code, Dollar Investment in Business, Dollar Investment in Business, Dollar Investment in Business, Date Of Birth, State Percent of Interest Date Of, and State area.

Entering details in dekalb county division interal audit and license stage 3

The Owner Building, Name, Street Address, City State Zip, Amount of Rent Due, Owner of Land, Lessor, SubLessor, How much money is being invested, How much of the money being, Name of Bank Business or Person, CityStateZip Code, Street Address, Name and home address of the, and Have you attached a copy of the field is where all parties can put their rights and obligations.

Owner Building, Name, Street Address, City  State  Zip, Amount of Rent Due, Owner of Land, Lessor, SubLessor, How much money is being invested, How much of the money being, Name of Bank Business or Person, CityStateZip Code, Street Address, Name and home address of the, and Have you attached a copy of the in dekalb county division interal audit and license

Finalize by checking the next fields and completing them correspondingly: until you acknowledge receipt of, Print name of applicant licensee, Signature of applicant licensee, and Date.

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