Reviewed By:
Date:
Signature:
I declare that the foregoing statements are true, complete and correct to the best of my knowledge.
Signature of Applicant or Authorized Agent
Date
Business Phone:
Start Date:
*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.)
Website:
Other
Social Security # (sole proprietor / partnerships)
Social Security # (sole proprietor / partnerships)
Fax:
Trade Name:
Physical Address:
Mailing Address:
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.)
Federal ID (EIN)
Sole Proprietor
Partnership
Corporation
LLC
Owner's Phone:
BUSINESS REGISTRATION FORM
Owner Information:
540-382-5710
Office Use Only
Type of Tax: (check all that apply)
Business Tangible Property
Meals Tax
Transient Occupancy Tax (hotel, motel, airbnb, room rental, etc.)
MONTGOMERY COUNTY, VIRGINIA
Helen P. Royal, Master Commissioner of the Revenue
Heather Huff
755 Roanoke St, Suite 1A, Christiansburg, VA 24073
Business Personal Property Division
2020
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