Form R-1 - Virginia Department Of Taxation Business Registration Application Page 3
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4SECTION C:
TAX TYPES
10.
Check the box beside each tax for which you are registering. Also, enter the date you became liable or will become liable for that
tax type. If the telephone number of the contact person for tax information is different than the number entered on line 3, complete
the third column. Please do not check taxes for which you are already registered. See the instructions.
Date you will be
Contact person's phone
liable for the tax
number (if different from line 3)
Tax Types
S
U
T
ALES AND
SE
AXES
/
/
(
)
h Retail Sales and Use Tax (In-State Dealers) .................................. (ST)
/
/
(
)
h Use Tax (Out-of-State Dealers) ....................................................... (UT)
/
/
(
)
h Consumer Use Tax .......................................................................... (CU)
/
/
(
)
h Aircraft Dealers ............................................................................... (AS)
Enter your Virginia Commercial Fleet Aircraft
License Number:_______________________________________
Date Issued:____/____/____ Date Expires:____/____/____
Enter the number of aircraft owned during the
preceding calendar year ________________.
(
)
/
/
h Motor Vehicle Fuel Sales Tax .......................................................... (MF)
/
/
(
)
h Tire Tax ............................................................................................. (TR)
(
)
h Vending Machine Sales Tax ............................................................ (VM)
/
/
(
)
/
/
h Watercraft Sales and Use Tax ........................................................ (WC)
Seasonal Businesses: If your business is SEASONAL (not operational
the entire year) check the month(s) it will be active:
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
I
T
NCOME
AXES
h
/
/
(
)
Employer Withholding Tax .............................................................. (WH)
Check the box beside the TOTAL amount of Virginia Income Tax
you expect to withhold from employee wages for each quarter:
h $300 or less per quarter (Quarterly Filer)
h More than $300 but less than $3,000 per quarter (Monthly Filer)
h $3,000 or more per quarter (Semi-Weekly Filer)
Seasonal Businesses: If your business is SEASONAL (not operational
the entire year), check the month(s) it will be active:
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
h
Corporation Income Tax ................................................................. (CP)
/
/
(
)
Check Taxable or Fiscal Year (same as Federal purposes)
h Calendar Year - January 1 to December 31
h Fiscal Year - First month of your taxable year ____________
h Check here if this business is a subsidiary or
Subsidiary/Affiliate:
affiliate of another business and will be filing a combined or consolidated
FOR OFFICE USE ONLY
return with its affiliate(s). Enter the Virginia account number, FEIN and
AK
NMAI
NPC
name of the parent or affiliated corporation(s).
PBA
ET
BC
Virginia Account Number _________________________
LC
LD
ELD
FEIN _________________________________________
Name_________________________________________
Page 3
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