Fillable Form 2022: COUNTY BUSINESS LICENSE APPLICATION (Revize)

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Form 2022: COUNTY BUSINESS LICENSE APPLICATION (Revize)

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OFFICE OF THE COMMISSIONER OF THE REVENUE
Gerald H. Gwaltney
Commissioner of the Revenue
Post Office Box 107
Isle of Wight, VA 23397
(757) 365-6222
COUNTY BUSINESS LICENSE APPLICATION
Check Box: Individual [ ] Partnership [ ] Corporation [ ] LLC [ ]
Business Location: _______________________________________________________________________________
Has State Lic. been purchased (if required) ? YES ____ NO ____ State Lic #: ____________________________
Name of Applicant: ______________________________________________________________________________
Social Security #: ______________________________ Tax ID/FEIN: ______________________________
Trade Name: ____________________________________________________ Date Began: ___________________
Mailing Address: ________________________________________________________________________________
Business Phone: ______________________ Cell Phone: _________________ Home Phone: ________________
Email Address: _________________________________________________________________________________
No Longer in Business? Check Box [ ] Date Closed/Sold Business: ____________________________________
THE INFORMATION FURNISHED BY YOU UPON THIS FORM IS THE BASIS USED IN
ASSESSING YOUR BUSINESS LICENSE IN THE COUNTY OF ISLE OF WIGHT, VA.
BUSINESS LICENSE CLASS
TOTAL GROSS RECEIPTS
TAX DUE
Contractors (All Types)
$
Retail Sales
$
Financial, Real Estate and
Professional Services
$
Repair, Personal, Business and
Other Services
$
Wholesale Merchants
$
Other Businesses
$
Are MIXED Alcoholic beverages sold on premises? Yes [ ] No [ ]
Is Beer sold ON Premises [ ] OFF Premises [ ] or ON & OFF [ ]
Is Wine sold ON Premises [ ] OFF Premises [ ] or ON & OFF [ ]
I hereby swear or affirm that the above information as to gross receipts, sales, purchase and
contracts is true and correct to the best of my knowledge.
________________________________________
Signature of Applicant
____________________________
________________
Date
$
$
$
2022
click to sign
signature
click to edit
ALCOHOLIC BEVERAGES
$100.00
$20.00
$20.00
$37.50
$75.00
1. Mixed alcoholic beverages
2. On-premises beer
3. Off-premises beer
4. Off-premises wine & beer
5. On- and off-premises wine & beer
6. On premises wine & beer
$37.50
1/2 of 1% of gross receipts, less charges for long distance telephone calls
1/2 of 1% gross receipts
TELEPHONE AND TELEGRAPH COMPANIES
WATER AND HEAT, LIGHT AND POWER COMPANIES
COIN MACHINE OPERATORS
1. Operator owning less than 3 Amusements Machines
2. Operator ow
ning 3 to 9 Amusement Machines
3. Operator ow
ning 10 or more Amusement Machines
$0.00
$150.00 plus $0.25 per $100.00 of TOTAL gross receipts
$200.00 plus $0.25 per $100.00 of TOTAL gross receipts
4. Operator owning Coin-Operated Machine(s)
$0.25 per $100.00 of TOTAL gross receipts
CARNIVALS
$100.00 per day
FORTUNE TELLERS $500.00 per year
Please choose only ONE of the following based on TOTAL gross receipts.
$50.00
$0.16 per $100.00
Please choose only ONE of the following based on TOTAL gross receipts.
$50.00
$0.20 per $100.00
$500.00 per year
$50.00 per year
Please choose only ONE of the following based on TOTAL gross receipts.
$50.00
$0.05 per $100.00
Please choose only ONE of the following based on TOTAL gross receipts.
$50.00
$0.58 per $100.00
Please choose only ONE of the following based on TOTAL gross receipts.
$50.00
$0.36 per $100.00
Please choose only ONE of the following based on TOTAL gross receipts.
CONTRACTORS*
Gross receipts less than $50,000
Gross receipts $50,000 or more
RETAIL SALES*
Gross receipts less than $50,000
Gross receipts $50,000 or more
PEDDLER - Itinerant Merchant
PEDDLER - Food/Plant Merchant
WHOLESALERS*
Purchases less than $100,000
Purchases $100,000 or more
FINANCIAL, REAL ESTATE AND PROFESSIONAL SERVICES*
Gross receipts less than $50,000
Gross receipts $50,000 or more
REPAIR, PERSONAL, BUSINESS AND OTHER SERVICES*
Gross receipts less than $50,000
Gross receipts $50,000 or more
DIRECT SELLER*
Gross receipts less than $50,000
Gross receipts $50,000 or more, tax shall be the greater of option
A or B
*License not required if gross receipts are less than $4,000.
$50.00
A. Retail Sales $0.20 per $100.00
or B. Wholesales $0.05 per $100.00
Rev. 12.13.21
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Form 2022: COUNTY BUSINESS LICENSE APPLICATION (Revize)

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Completed 10 January 2022

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