Form R-1 - Virginia Department Of Taxation Business Registration Application printable pdf download

FOR OFFICE USE ONLY

VIRGINIA DEPARTMENT OF TAXATION

FORM R-1

Virginia Account Number

BUSINESS REGISTRATION APPLICATION

PLEASE PRINT OR TYPE THIS APPLICATION

OPERATOR #

DATE PROCESSED

READ THE INSTRUCTIONS BEFORE COMPLETING THIS FORM

CHECK THE REASON(s) you are submitting this application. Retail Sales and Use Tax and Motor Vehicle Fuel Sales Tax applicants

must complete a separate Form R-1 for each location that collects retail sales tax. For vending machine sales tax applicants,

complete a separate Form R-1 for each city or county in which vending machines are located.

NEW BUSINESS-NEVER REGISTERED

EXISTING BUSINESS-ALREADY REGISTERED

I want to register a new business that has never

Sales and Use Tax. I want to register a new location to

been registered for any Virginia business tax (never

collect Virginia sales and use tax or tire tax. Complete

assigned a Virginia business account number).

one of the following if applicable.

Check this box if this business is a new specialty

This new location is in the same city or county as

dealer for flea markets, gun shows, arts/crafts

my other location(s) and I want to file a combined

shows, etc., making sales at locations through-

return for these locations using the following

out Virginia.

existing account number:

REOPEN A CLOSED BUSINESS ACCOUNT

I want to reopen a closed account for a business

that was previously registered with the VIRGINIA

I want to pay taxes for this new location using my

DEPARTMENT OF TAXATION. Enter name and

consolidated account number:

account number below. If more space is needed,

attach a separate sheet and check here.

Other Taxes. I want to register my business for other

Business name ________________________________

taxes. My current Virginia account number is:

Virginia account number ________________________

SECTION A:

BUSINESS NAME, LOCATION AND ENTITY TYPE INFORMATION

Check the TYPE OF ENTITY below and enter the FULL LEGAL NAME OF THE BUSINESS as applicable. Complete only one.

OFFICE

USE ONLY

h SOLE PROPRIETOR - Individual's full name: .............. __________________________________________________

h PARTNERSHIP - Partnership name: ............................ __________________________________________________

h LIMITED LIABILITY COMPANY - Company name: ..... __________________________________________________

h CORPORATION - Corporation name: ......................... __________________________________________________

Also, check any of the following boxes that apply:

h Sub Chapter S Corporation;

h Multi-State Corporation; or

h Non-profit Corporation exempt under IRC Section 501(c).

Also enter qualifying paragraph number: IRC 501(c)(___).

h GOVERNMENT AGENCIES & UNITS - Agency/Unit name: _____________________________________________ __

F S G

h U.S.

h State

h Other Government

h OTHER TYPE -

h Enter entity type: ________________ Enter entity's full name: _________________________________________

Enter the "TRADING-AS" NAME OF THE BUSINESS here only

if it is different from the legal name of the business on line 1 above: _____________________________________________

Enter the business location's street address (PHYSICAL LOCATION). Rural route addresses must include the route and box

number. Post Office box numbers will not be accepted. See the instructions before continuing. Enter a daytime phone number so

we can contact you if we need additional information.

The address entered on this line will be used to allocate local sales tax revenue to the city or county

IMPORTANT

where the business is physically located. The mailing address should be entered on line 7, not here.

___________________________________________________________________________________________

Physical Address: Number and Street Address

___________________________________________________________

______________________________

(

)

City or County

State

ZIP Code (9 digit)

Phone Number

Page 1

VA DEPT OF TAXATION

1501220 (Rev. 3/02)

Form R-1 - Virginia Department Of Taxation Business Registration Application

Related Articles

Related forms

Related Categories