U.S. Citizen/Qualified Alien Affidavit – Gwinnett County, GA

The U.S. Citizen/Qualified Alien Affidavit is the sworn statement a business owner signs with a Gwinnett County Business License / Occupational Tax Certificate application to certify legal presence in the United States under O.C.G.A. § 50-36-1.

The printed form is headed "Citizenship Affidavit, O.C.G.A. § 50-36-1(E)" and carries the name of the Gwinnett County Licensing & Revenue Division. The county's business license page, kept by the Department of Planning and Development, explains that Georgia law requires every applicant for the certificate to execute the affidavit and attach a front and back copy of one secure and verifiable document for identification.

The applicant picks one of three statements: a United States citizen, a legal permanent resident of the United States, or a qualified alien or non-immigrant under the Federal Immigration and Nationality Act with an alien number issued by the Department of Homeland Security or another federal immigration agency. The applicant also verifies being 18 or older and names the document provided, such as a driver's license, I-551, I-766 or passport. The form is signed under oath and ends with a notary public block.

It is not the E-Verify Affidavit, which the county's page lists separately for private employers.

Anyone applying to Gwinnett County for a Business License / Occupational Tax Certificate completes this affidavit. The county's business license page says that any applicant for the certificate must execute an affidavit certifying legal presence in the United States.

Within the form, the applicant chooses the one statement that fits:

• a United States citizen;
• a legal permanent resident of the United States;
• a qualified alien or non-immigrant under the Federal Immigration and Nationality Act, who also writes the alien number issued by the Department of Homeland Security or another federal immigration agency.

Only one option may be checked. The applicant must also be 18 years of age or older, because the affidavit verifies that, and must provide at least one secure and verifiable document with it. The business name is written at the top of the form.

The form has signature lines only for the applicant, and it names no representative who may sign in the applicant's place. It is a separate document from the E-Verify Affidavit that the county's page describes for private employers.

Complete the affidavit when you apply for a Gwinnett County Business License / Occupational Tax Certificate, because the county requires it with that application. The form prints no separate due date of its own, so it travels with the application whenever the application is submitted.

Have your secure and verifiable document ready first, since you must name it on the form and attach a front and back copy. The notary block is completed when the affidavit is sworn, so plan for a notary before you submit the package.

The affidavit is submitted to Gwinnett County together with your Business/Occupation Tax Certificate application; the form prints no mailing address, portal or office hours of its own.

• With the application: attach the signed and notarized affidavit and a front and back copy of one secure and verifiable document, as the county's business license page directs.
• County information: the application requirements, the list of approved secure and verifiable documents and the contact details are on the Gwinnett County business license page.

Fees apply to the certificate itself, not to this form; ask the county for current amounts through its business license page. FillingPDF lets you fill out and download the PDF; submission follows the county's channels described above.