City of Fayetteville Occupational Tax Permit (Business License) HOME Application.
BUSINESS NAME AND LOCATION: Local street address in Fayetteville.
DESCRIPTION OF BUSINESS: Please list ALL business activities to be conducted by this business. This is the
description that will be printed on the permit. (Example: Janitorial Services, Internet Sales, etc.)
PLEASE PROVIDE COPY OF STATE LICENSE IF APPLICABLE
GROSS REVENUE INFORMATION: Please estimate gross revenue from the time the business opens through
the end of the calendar year. The definition of gross receipts is attached to the back of the application.
Number of full-time and part-time employees for the company (include employees of all locations). If more than
ten (10) employees, E-Verify number is required. Please note that a State or Federal Tax ID is not the same as an
Social Security number, Federal or State Tax ID, and/or Sales Tax number: At least one is required.
BUSINESS OWNER: Name of the Corporation, LLC, Partnership, individual, etc., that owns the business.
Mailing address, phone number, and e-mail address of business owner.
Name and title of person completing the application (owner, manager, etc.)
U.S. Citizen: Please check yes or no. If not a citizen, please bring in legal resident card.
NAME AND ADDRESS OF PROPERTY OWNER: Company or person that owns the home or apartment.
PLEASE NOTE: If you are renting a home or apartment, you must provide a letter from the property owner or
management stating you have permission to use the rental property address for your business license.
STATEMENT OF INTENT: Please answer questions 1 through 7. PLEASE NOTE: Statement of Intent must
be signed in front of a notary. Notaries are available at City Hall.
New Occupational Tax Sheet: Please complete all information.
Department of Revenue Official Addendum to Business Occupancy License Application:
Please complete this form even if you do not have a sales tax number.
The Private Employer Affidavit and the U.S. Citizen/Qualified Alien Affidavit must be signed and notarized.
Notaries are available at City Hall or you may use a notary elsewhere. Please bring your driver’s license or photo
I.D. with you. If you are not a U.S. citizen, please bring your green card or proof of legal residence. PLEASE BE
SURE TO SIGN IN FRONT OF THE NOTARY.
NOTE: Home Occupation permits must be approved by Planning & Zoning. If no one is available to approve the
application, you will be contacted when the license is ready to pick up. Payment must be made at the time the
license is picked up.
Please note all occupational tax permits expire on December 31
. Renewal forms will be mailed in December
2020. Please complete and return the forms and you will be billed for 2021. Payment for the 2021 renewal must
be received by March 31, 2021 to avoid penalty and interest. Please keep us updated if your mailing address
changes, or if you move from one location to another, or close the business.
If you have any questions, please call 770-719-4165 or e-mail PBrown@fayetteville-ga.gov. Rev. 12/26/19