2007 Business License Application Form - Virginia
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1
2KEVIN A. WILSON
Commissioner of the Revenue
RENEWAL
COUNTY OF GLOUCESTER, VIRGINIA
DEADLINE
6489 Main Street, Suite 137
MARCH 1, 2007
Gloucester, Virginia 23061
[804] 693-1318 or [804] 693-3451
2007 BUSINESS LICENSE APPLICATION
Name: ______________________________________
Location: _____________________________
Trade Name: _________________________________
Address: ____________________________________
Phone: _________________
____________________________________________
ACCT NO.
LIC. NO.
BEGAN IN GLOUCESTER:
[1] TOTAL GROSS RECEIPTS
$
ACTUAL OR ESTIMATED (Circle One)
IF YOU WERE IN BUSINESS ON OR BEFORE JANUARY 1, 2006, PLEASE REPORT YOUR ACTUAL GROSS RECEIPTS FOR
CALENDAR YEAR 2006. IF YOUR BUSINESS OPENED AFTER JANUARY 1, 2006, PLEASE REPORT YOUR ESTIMATED GROSS
RECEIPTS FOR 2007. IF YOU ESTIMATED YOUR GROSS RECEIPTS FOR CALENDAR YEAR 2006 AN ADJUSTMENT MAY BE
REQUIRED. PLEASE REFER TO THE INSTRUCTIONS FOR ADJUSTMENTS TO YOUR 2006 BUSINESS LICENSE TAX. PLEASE
INDICATE WHETHER YOUR GROSS RECEIPTS ARE ACTUAL OR ESTIMATED BY CIRCLING THE APPLICABLE LABEL ABOVE.
[2] TAX COMPUTATION
$
TAX DUE
IF YOUR GROSS RECEIPTS ARE LESS THAN $50,000 ANNUALLY, THE MINIMUM TAX IS $50.00. IF YOUR GROSS RECEIPTS ARE
GREATER THAN $50,000 ANNUALLY THE TAX IS BASED ON THE VARIABLE RATE SCHEDULE FOUND ON THE BACK OF THIS
APPLICATION. FOR THOSE BUSINESSESS OF WHICH ARE BASED ONLY ON FLAT FEES, THE FEES ARE OUTLINED ON THE
BACK.
INSTRUCTIONS: THE CLASSIFICATION FOR YOUR BUSINESS IS LISTED BELOW. UTILIZE THE FIRST TWO LETTERS OF YOUR
CLASSIFICATION AND REFER TO THE CHART ON THE BACK OF THIS APPLICATION FOR YOUR TAX RATE. MULTIPLY THE
GROSS RECEIPTS APPLICABLE TO THE CLASSIFICATION TIMES THE RATE LISTED ON THE BACK OF THIS FORM TO
DETERMINE THE TAX FOR THAT ONE CLASSIFICATION AND PROCEED THROUGH EACH CLASS AS SUCH. THE FINAL STEP IS
TO SUMMARIZE THE TAX DUE FOR EACH CLASSIFICATION IN THE BOX PROVIDED ABOVE.
$
CLASSIFICATION 1
GROSS$
TIMES RATE
$
CLASSIFICATION 2
GROSS$
TIMES RATE
[3] PRIOR YEAR TAX ADJUSTMENT-
$
ACTUAL GROSS
APPLIES ONLY IF YOU ESTIMATED YOUR 2006 CALENDAR YEAR
$
ESTIMATED GROSS (2006)
.
GROSS RECEIPTS
$
AMOUNT DUE (CREDIT)
IF YOUR ACTUAL AND ESTIMATED GROSS RECEIPTS ARE LESS THAN $50,000 FOR CALENDAR YEAR 2006 NO ADJUSTMENT IS
REQUIRED. IF THEY ARE GREATER THAN $50,000, PLEASE REFER TO THE INSTRUCTIONS FOR INFORMATION ON HOW TO
CALCULATE YOUR PRIOR YEAR ADJUSTMENT.
TAX DUE
PRIOR YEAR TAX ADJUSTMENT
TOTAL TAX DUE
LINE 2
LINE 3
ON OR BEFORE MARCH 1, 2007
$
$
$
TOTAL TAX DUE
PENALTY
PENALTY
INTEREST
TOTAL DUE
10% LATE FILING
10% LATE PAYMENT
10% PER ANNUM
$
$
$
$
$
MAKE CHECKS PAYABLE TO: GLOUCESTER COUNTY
Declaration: I declare that the statements and figures herein given are true and correct to the best of my knowledge and belief:
________________________________________________
______________________________ _________________________
Signature
Telephone No./Extension
Date
THE COMPLETION AND ISSUANCE OF THIS APPLICATION FOR COUNTY BUSINESS LICENSE SHALL NOT BE DEEMED
APPROVAL TO CONDUCT THIS OR ANY BUSINESS WITHOUT FIRST OBTAINING ZONING & USE PERMITS FROM THE COUNTY.
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