AFFIDAVIT TO DISPENSE
ALCOHOLIC BEVERAGES
ON SUNDAY
________________________________________________________________________________________________________________________
City of Pooler ● Customer Service/Finance Department ● 100 SW Highway 80, 2
nd
Floor ● Pooler, Georgia 31322 ● (912) 748-7261
www.pooler-ga.gov
The City of Pooler permits eating establishments (restaurants) holding a license to dispense alcoholic beverages for consumption on
the premises under certain conditions.
To be authorized to dispense alcoholic beverages for consumption on Sunday, your establishment must:
(1.) Be licensed by the City of Pooler to sell alcoholic beverages by the drink for consumption on the premises; and
(2.) Be an eating establishment whose primary business is the sale of prepared meals; and
(3.) Derive at least 50 percent of its total annual gross food and beverage sales from the sale of prepared meals or food; and
(4.) Have its primary floor area specifically designed, set aside, set up and operating to serve meals and food on the premises
and shall have a fully-equipped commercial kitchen to include an appropriate stove, refrigerator, food preparation area,
sink and other items required by the county health department and city inspections department for the preparation of
food; and
(5.) Have a printed or posted menu from which selections of prepared meals can be made; and
(6.) Provide full food service to the public during its entire operating hours, including Sunday; and
(7.) Complete the below affidavit and submit along with the required Sunday Sales permit fee of $150.00.
__________________________________________________________________________________________________
Name of Business
__________________________________________________________________________________________________
Location Telephone Number
I certify that the establishment named above: (1) is a bona fide public eating establishment which will actually and regularly prepare
and serve food on the premises; (2) fully intends to derive at least 50% of its total annual gross food and beverage sales from the
sale of prepared meals or food; and (3) will provide full food service along with a printed or posted menu to the public during
operating hours. Further, I understand that I must submit a certified affidavit from my certified public accountant (CPA) or
registered public accountant (RPA) upon my request for renewal each year if Sunday Sales of alcoholic beverages is to be continued.
Executed this _______________ day of _____________________, 20________.
_______________________________________
Signature
_______________________________________
Printed Name
SUBSCRIBED AND SWORN BEFORE ME ON
THIS _________ DAY OF ________________, 20_____.
____________________________________________
Notary Public/Seal
My Commission Expires: _______________________