Business License Application Form - Virginia Commissioner Of The Revenue
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1
2BUSINESS LICENSE APPLICATION
ACCOUNT NUMBER:
THIS SECTION MUST BE COMPLETED BY ALL APPLICANTS
PHOTO IDENTIFICATION IS REQUIRED FOR ALL APPLICANTS.
BEGIN DATE ________________, 20 ______
EXPIRES: DECEMBER 31, 20 ______
SSN (OR)
EIN: _________________________________
INDICATE APPLICANT TYPE:
INDIVIDUAL
PARTNERSHIP
CORPORATION
LLC
APPLICANT NAME: ________________________________________________________________________ Is the applicant a U.S. Citizen?
Yes
No
BUSINESS ENTITY NAME: ___________________________________________________________________________________________________________
INTENDED BUSINESS NAME (TRADE NAME): _________________________________________________________________________________________
MAILING ADDRESS: ________________________________________________________________________________________________________________
BUSINESS ADDRESS (PHYSICAL LOCATION): ________________________________________________________________________________________
TELEPHONE: _____________________________
FAX: _____________________________ E – MAIL ADDRESS: ________________________________
PLEASE ANSWER THE FOLLOWING QUESTIONS AS ACCURATELY AS POSSIBLE:
Do you have any other business entities currently licensed in Virginia? Yes
No
If yes, please list the owner entity name, trade name and locality:
_____________________________________________________________________________________________________________________________________
Briefly describe your prospective customers :
individuals
other businesses
government
other:_________________________________________
Briefly describe the nature of your compensation:
fees
commissions
product sales
other:___________________________________________
Will you use any licensed vehicles in your line of business?
Yes
No; If yes, provide number of vehicles: ____ Indicate percentage of business use: ____
Will you be conducting this business from your home?
Yes
No
If yes, submit Restrictions for Use of Home Form with application. Submitted
If no, submit Fire Code Permit Form with application. Submitted
Provide a detailed description of business activity: ____________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________
Provide an estimate of gross receipts between beginning date of business and December 31: __________________________________________________________
FOR OFFICE USE ONLY – BUSINESS LICENSE
BUSINESS CLASSIFICATION
NAICS #
BASIS*
TAX
TOTAL**
Trade Name Registered?
** Penalty & interest is applied in
-0000
* Basis is total gross receipts
Yes
Not applicable
Already registered
accordance with state and city codes
The Virginia Beach City Code Section 18-21 requires the Department of Planning to regulate business activities in accordance with the city’s zoning
ordinance. The Department of Planning is located in Building 2, Room 100.
Zoning approval by:
Date approved:
Application
Revised 1.17.2013
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