I declare that the foregoing statements are true, complete and correct to the best of my knowledge.
Signature of Applicant or Authorized Agent
*Virginia Sales Tax Registration # - When reporting sales tax each month to the Department of Taxation, please use Montgomery County's locality CODE 51121. This
information is used to allocate local sales revenue to Montgomery County in which your business is physically located.
Start Date and Tax Information:
Sales Tax Registraton #: * (ex: 10-999999999F-001)
Description of Business: (list detailed information about the business operations or attach a separate sheet if necessary.)
Social Security # (sole proprietor / partnerships)
Social Security # (sole proprietor / partnerships)
Is the mailing address the same for all tax types? Yes No (if no, please list on a separate sheet of paper for each tax type.)
Owner's Name: (if a corp, S Corp, LLC, etc., then please enter the name as filed with the State Corporation Commission.)
BUSINESS REGISTRATION FORM
huffhn@montgomerycountyva.gov
Type of Tax: (check all that apply)
Business Tangible Property
Transient Occupancy Tax (hotel, motel, airbnb, room rental, etc.)
MONTGOMERY COUNTY, VIRGINIA
Helen P. Royal, Master Commissioner of the Revenue
755 Roanoke St, Suite 1A, Christiansburg, VA 24073
Business Personal Property Division
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