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Business License Renewal for 2021

2. Business License Renewal Form
   The attached application applies to all existing accounts with NO CHANGES TO Business Owner or Business Name or Change in Location or State License Holder. If any of the above items have changed, a new application is required. Please use the Occupational Tax Certificate Application.

   The attached application applies to all existing accounts with NO CHANGES TO Business Owner or Business Name or Change in Location or State License Holder. If any of the above items have changed, a new application is required. Please use the Occupational Tax Certificate Application.

4. If you have any questions while completing the form, please contact the Planning Department at 706-864-6894.

   If you have any questions while completing the form, please contact the Planning Department at 706-864-6894.

6. Business Name

8. Business License Number

9. Georgia Sales Tax Number if applicable

11. Correct Mailing Address

13. City

14. State

15. Zip Code

17. Phone Number

18. Fax Number

20. Email Address (if you have one)

22. Is the business still in operation?
    -- Select One --YesNo

23. If no, please enter closing date and submit this form so we may update our files.

25. If yes, please complete this form and submit to the Planning Department. You may pay with credit card upon submission of this form or submit a check, or money order, in the correct amount made out to Lumpkin County Planning. Please include $2.00 for shipping if you would like your business license mailed back to you.
    If you choose to mail form and funds, please send to: Lumpkin County Planning Department 25 Short Stree, Suite 10 Dahlonega, GA 30533

    If you choose to mail form and funds, please send to: Lumpkin County Planning Department 25 Short Stree, Suite 10 Dahlonega, GA 30533

27. Please include a copy of any State of Federal License required for the operation of your business. Also, any business required to obtain health permits, bonds, certificates of qualification, certificates of competency, or any other regulatory matter must show evidence that such requirements have been met by including a copy of such with the application.

    Please include a copy of any State of Federal License required for the operation of your business. Also, any business required to obtain health permits, bonds, certificates of qualification, certificates of competency, or any other regulatory matter must show evidence that such requirements have been met by including a copy of such with the application.

29. Document 1

30. Document 2

31. Document 3

33. Document 4

34. Document 5

35. Document 6

37. Document 7

38. Document 8

39. Document 9

41. Document 10

43. Licenses are issued for a calendar year, January through December. There is no grace period. Renewals not received by 5:00 pm on December 31, will be subject to penalty and interest charges of 10% for each month past due. We do not accept postmarks; each application is stamped with a received date when it is delivered. This is the date we use for determining the timeliness of payment, not the postmark.

    Licenses are issued for a calendar year, January through December. There is no grace period. Renewals not received by 5:00 pm on December 31, will be subject to penalty and interest charges of 10% for each month past due. We do not accept postmarks; each application is stamped with a received date when it is delivered. This is the date we use for determining the timeliness of payment, not the postmark.

45. After registration with Lumpkin County, and upon payment of the applicable occupation tax, an Occupation Tax Certificate shall be issued by the Planning Department. The Occupation Tax Certificate shall be displayed in a conspicuous location in the place of business if the taxpayer has a permanent business location in Lumpkin County, Georgia. If the taxpayer has no permanent location in Lumpkin County, Georgia, the Occupation Tax Certificate shall be shown to any agent of Lumpkin County upon request.

    After registration with Lumpkin County, and upon payment of the applicable occupation tax, an Occupation Tax Certificate shall be issued by the Planning Department. The Occupation Tax Certificate shall be displayed in a conspicuous location in the place of business if the taxpayer has a permanent business location in Lumpkin County, Georgia. If the taxpayer has no permanent location in Lumpkin County, Georgia, the Occupation Tax Certificate shall be shown to any agent of Lumpkin County upon request.

49. Tax Computation

51. 1. Enter total number of full time employees.

52. 2. Enter total number of full time equivalents.

    To calculate the number of full-time equivalent employees, add the total hours of the part-time employees and divide by 40 hours.

54. Total number of employees (Add numbers from 1 & 2 above.

56. 

58. If you have over 100 employees, please contact the Planning Department to obtain your total amount due.

60. 1. Amount of Occupation Tax, late penalty, and mail fee due based on number of employees from table above:

62. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
64. Electronic Signature

    By agreeing to electronic signature, you further agree that the information contained and provided in this application is true and correct to the best of your knowledge.

66. Title:

67. Date:

69. Upon completion of this form you may choose to submit or submit and print. If you choose submit and print, a browser will open with your form, to access the credit card portal simply close the tab after printing your form and the payment portal will appear. If you choose to pay via check or money order, you may close your browser after printing and disregard the payment portal.

    Upon completion of this form you may choose to submit or submit and print. If you choose submit and print, a browser will open with your form, to access the credit card portal simply close the tab after printing your form and the payment portal will appear. If you choose to pay via check or money order, you may close your browser after printing and disregard the payment portal.

Leave This Blank:


71. 1. Receive an email copy of this form.
72. Email address

    This field is not part of the form submission.

73. Submit Submit and Print

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