Certificate Of Residence For Retail License Applicants Only {ATT-14}

ATT-14 (Rev.1/13) Georgia Department of Revenue Alcohol and Tobacco Division Telephone: (404) 417-4900 E-mail: ATDIV@dor.ga.gov CERTIFICATE OF RESIDENCE FOR RETAIL LICENSE APPLICANTS ONLY Submit online at https://gtc.dor.ga.gov STATE OF GEORGIA, _________________________________ COUNTY: I, _____________________________________________, Judge of the Probate Court for ________________________________________ County, Georgia, hereby certify that ________________________________________ is now, and has been a bona fide resident of the State of Georgia for one year and the County of ________________________________________ for one year immediately preceding the date of this affidavit, based upon the affidavit of applicant, and the evidence submitted therewith. I further certify that _____________________________________________ is a resident of a municipality or a county wherein the sale of distilled spirits is authorized. IN WITNESS WHEREOF, I have hereunto set my hand and affixed the seal of said Probate Court, this ____ day of _____________________________, 20 ________ . _____________________________________________ JUDGE OF THE PROBATE COURT _____________________________________________ COUNTY, GEORGIA (AFFIX SEAL) American LegalNet, Inc. www.FormsWorkFlow.com