Pickens County Planning Development Department 2026

1. Click ‘Get Form’ to open the Private Employer Exemption Affidavit in the editor.
2. Begin by entering your signature as the exempt private employer in the designated field. This confirms your verification of exemption from compliance with O.C.G.A. § 36-60-6.
3. Next, print your name clearly in the provided space to identify yourself as the exempt private employer.
4. In the section labeled 'Executed on', fill in the date of execution along with the year, ensuring it reflects when you are completing this affidavit.
5. Sign again as an authorized officer or agent in the specified area, followed by printing your name and title to establish authority.
6. Finally, leave space for a notary public's signature and commission expiration date, which is necessary for legal validation.

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