Business License Application - City Of Alexandria - 2016
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2City of Alexandria 2016 Business License Application
Business Tax
City Hall – Room 1700
P.O. Box 178, Alexandria, VA 22313
703.746.3903
alexandriava.gov/BusinessTax
Owner’s Name:
___________________________________________________________________________________________
Owner’s Address:
____________________________________________________________________________
(Street)
(Suite or Apt #)
____________________________________________________________________________
(City)
(State)
(Zip Code)
S Corp
Partnership
Individual
Corporation
LLC
.
If Partnership, provide on a separate sheet of paper the names and addresses of the all partners
.
If Corporation, provide name and address of Registered Agent
If LLC, provide member’s name and social security number.
New Business
or Transfer of Ownership
_____________________________________________________________________________
Business Trade Name:
______________________________________________________________________
Taxpayer Identification Number:
(Federal Identification Number or Social Security Number)
______________________________________________________________________
Sales Tax Identification Number
:
______________________________________________________________________
Business Location:
(Street)
(Suite or Apt#)
______________________________________________________________________
(City)
(State)
(Zip Code)
Business Telephone # (____) ________-___________________________ Fax # (_____) _________-___________________________
_____/______/________
: ____________________
Date Business Began in Alexandria:
Number of Employees in Alexandria
_____________________________
________________________________
Description of Business:
License Type:
____________________________________
___________________
Business E-Mail Address:
NAICS Code Number:
(
Enter 6 digit North American Industry Classification System (NAICS) Code(s) used for tax
filings. NAICS Codes are available at )
Business Mailing Address: _________________________________________________________________________________________
(Street)
(Suite or Apt#)
___________________________________________________________________________
(City)
(State)
(Zip Code)
__________________________________
Bank Name:
Do you own a vehicle(s) that is used for business purposes? (Check appropriate box)
If “Yes”, provide VIN and percentage of vehicle’s use for business.
Yes
No
Vehicle Identification Number:____________________________________ Percentage of Business Use:__________________________
(Attached an additional page, if you have more than one vehicle.)
______________________
_________________________
2016 Estimated Gross Receipts:
2015 Actual Gross Receipts:
Signature: ______________________________________________
Date: _______________________________________________
(An original signature of owner or authorized corporate representative is required.)
For instructions on obtaining a license and filing for business personal property taxes, refer to the instructions on page 2 of this form.
Please note that a business may require more than one business license if it engages in more than one business activity.
(e.g. A retail store that also provide a professional consulting service or a restaurant that also retails packaged food or T-shirts.)
To avoid a statutorily assessed business personal property tax bill, you must file a business personal property tax return on or before May 1.
Business personal Property taxes are due on or before October 5.
All licenses must be renewed annually by March 1 of each license year.
Thank you for choosing to do business in the City of Alexandria!
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