Fillable BUSINESS LICENSE APPLICATION (Town of Ashland, VA)

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BUSINESS LICENSE APPLICATION (Town of Ashland, VA)

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The BUSINESS LICENSE APPLICATION (Town of Ashland, VA) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Ashland, VA

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BUSINESS LICENSE APPLICATION
NON-RESIDENT CONTRACTOR
(804)798-8650
Town of Ashland P.O. BOX 1600 Ashland, VA. 23005
Applicant________________________________________________________________________________________________________
Trading As_______________________________________________________________________________________________________
Mailing Address___________________________________________________________________________________________________
State Contractor’s Number______________________________Telephone Number____________________________________________
Federal ID Number_____________________________________Social Security #______________________________________________
TYPE OF BUSINESS ENTITY (CHECK ONE):
SOLE PROPRIETORSHIP
PARTNERSHIP
Name of Partners_______________________________________________________________________________
CORPORATION
Registered agent in Virginia:_________________________________________________________________________________
Names of Corporations Officers:_____________________________________________________________________
A business license must be filed for non-resident contractors only on project(s) that total over $25,000.00. If you have more than
one project, please list each project on a separate form.
Construction project location/address Estimated dates of construction project(s):
And business or owners’ name(s)__________________________
_____________________________________________________ Beginning Date:__________________________
_____________________________________________________ Approximate finish date:___________________
____________________________________________________
____________________________________________________
2. Gross Receipts From Construction Project ______________________________
LICENSE TAX COMPUTATION:
If line 2 is $25,000 or more, multiply by .0007____________________________
PLEASE ATTACH CERTIFICATION OF WORKERS COMPENSATION INSURANCE IN VIRGINIA LICENSE CANNOT
BE ISSUED WITHOUT THIS CERTIFICATION.
CERTIFICATION OF LICENSEE:
I certify that the foregoing statement and figures are true, full and correct to the best for my knowledge and belief:
______________________________________________________________________________________________________________________________
Signature Title Date
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BUSINESS LICENSE APPLICATION (Town of Ashland, VA)

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Completed 2 August 2020

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