"Business License Application" - City of Poquoson, Virginia

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Business License Application is a legal document that was released by the Commissioner of the Revenue - City of Poquoson, Virginia - a government authority operating within Virginia. The form may be used strictly within City of Poquoson.

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BUSINESS LICENSE APPLICATION

LICENSE YEAR

CITY OF POQUOSON, VIRGINIA

OFFICE USE ONLY

GRAHAM P. WILSON

ACCOUNT NUMBER

COMMISSIONER OF THE REVENUE

500 CITY HALL AVENUE, POQUOSON, VA 23662

TELEPHONE (757) 868-3020

LEGAL OWNER’S NAME (CORPORATE, PARTNERSHIP OR SOLE PROPRIETOR):

CHECK TYPE OF BUSINESS

INDIVIDUAL

PARTNERSHIP

CORPORATION

TRADE NAME:

DATE APPLICANT BEGAN BUSINESS IN POQUOSON

MAILING ADDRESS:

MAIN OFFICE/HOME PHONE

LOCAL BUSINESS PHONE

FAX NUMBER

MOBILE PHONE NUMBER

BUSINESS LOCATION ADDRESS:

EMAIL ADDRESS

NAMES OF CORPORATE OFFICERS:

DETAILED DESCRIPTION OF ALL PROPOSED BUSINESS ACTIVITIES:

CLASSIFICATION

RATE

ESTIMATED GROSS RECEIPTS

LICENSE TAX

FEDERAL ID NUMBER/SOCIAL SECURITY NUMBER*

SIGNATURE

DATE

* Enter Social Security Number ONLY if business does not have a Federal I.D. Number. If an application has been made for a Federal I.D. Number, please

submit when received.

10% penalty for failure to either file an application or pay the tax by March 1

. An additional 10%

penalty may be charged if there is a history of late filing or late payment, when both the application and

payment are not received by March 1

THIS LICENSE EXPIRES DECEMBER 31, ANNUALLY.