Form Cr-L3 - Business License Tax Return
ADVERTISEMENT
1
2Arlington County
MAIL THIS PAGE WITH ANY
2000
BUSINESS LICENSE TAX RETURN
REQUIRED PAYMENT TO:
Commissioner of the Revenue
Due with payment On or Before
Expires December 31st.
January 31, 2000
2100 Clarendon Blvd., Ste. #200
Failure to File License Tax Return
Arlington, VA 22201-5403
to Avoid Penalty and Interest
Carries a Criminal Penalty
Telephone: (703) 228-3060
If you have ceased business:
Date ceased: _______________________
1999 Gross Receipts: $ _________________________
Name/Address of successor (if any):
9.)
Applicants Eligible for Installment Payment Check Here
FOR OFFICE USE ONLY
1.)
Account Number: ___________________________________________
□
for Semi-Annual Payment
Date You Began Business in
10.)
Arlington at This Location
2.)
Name: ____________________________________________________
/
/
Last
First
MI
□
11.)
Check Here if Arlington Business is Residence:
__________________________________________________________
(If Corporation, enter Corporate Name)
12.)
Fed. EIN or Soc. Sec. # ___________________________
13.)
Individual
Partnership
Corporation
Mailing Address: ____________________________________________
□
□
□
No. / Street
FOR OFFICE USE ONLY
__________________________________________________________
14.)
CO # _____________________________________
City
State
Zip
TN #
3.)
Arlington Business Address:
15.)
Home Address a) Individual, b) Partner or c) Corporation:
No. /Street _________________________________________________
_______________________________________________________
Arlington, VA 222 ________
_______________________________________________________
_______________________________________________________
Telephone (________) ________________________________________
Name and Address of Registered Agent:
4.)
Trade Name _____________________________________________
_______________________________________________________
6.)
No. of Employees
FOR OFFICE USE ONLY
in Arlington _______
_______________________________________________________
(Annual Average)
5.)
Z:
D:
T:
_______________________________________________________
Date of Incorporation or
7.)
Section 11- __________________ Detail ________________________
Virginia Qualification: __________ State of Incorporation _______
Business Classification ____________________________________________________________________________________________________
8.)
Detailed Description of Business
C
B
A
C
Y
T
A
I
(S
B
F
)
HECK
OX
ND
OMPUTE
OUR
AX
S
NSTRUCTED
EE
ACK OF THIS
ORM
□
16).
Applicant who was in business throughout 1999, enter the gross receipts for 1999 per applicant’s records in Box 20.
□
17).
Applicant beginning business after Jan. 1, 1999, but prior to Jan. 1, 2000, enter gross in 1999 here $ ________________________________
An adjustment will be made in the succeeding year.
Enter estimated gross in 2000 in Box 20.
□
18).
Applicant beginning business on or after Jan. 1, 2000, enter estimated gross receipts from beginning of business to Dec. 31,
An adjustment will be made in the succeeding year.
2000 in Box 20.
□
19).
License tax not based on gross receipts; enter annual tax in Box 21.
20). GROSS RECEIPTS (to nearest dollar)
,
,
If gross receipts on this license are:
.
,
21.)
AMOUNT DUE
* $0-$10,000: AMOUNT DUE is $0; Enter $0 on Line 21
.
,
* $10,001–$50,000: AMOUNT DUE is $30; Enter $30 on Line 21
22.)
PENALTY (if late)
* $50,001–$100,000: AMOUNT DUE is $50; Enter $50 on Line 21
.
,
23.)
INTEREST (if late)
* Over $100,000: Multiply gross receipts in Box 20 by tax rate.
.
,
Enter AMOUNT DUE on Line 21
24.)
TOTAL DUE
FOR OFFICE USE ONLY
DATE:
Print Name/Title
DR
PMD
BY
Signature
/
/ 00
Send this completed form with any required payment to:
C
BY
DATE
Commissioner of the Revenue
FORM CR-L3
2100 Clarendon Boulevard, #200
Rev. 1/1/00
P
TAG
BD
BY
Arlington, Virginia 22201-5403
MAKE CHECKS PAYABLE TO “TREASURER, ARLINGTON COUNTY”
TR
BA
DATE
BY
Please retain a copy of this return for your records.
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