Ingrid H. Morroy
MAIL RETURN TO:
2007
Commissioner of Revenue
Treasurer, Arlington County
PO Box 1757
Arlington County
Merrifield, VA 22116-1757
BUSINESS LICENSE TAX RETURN
For information please contact:
File and Pay by March 1, 2007
Phone: 703-228-3060
ACCOUNT #
(to avoid late penalty and interest charges)
e-mail: business@arlingtonva.us
$
DATE CEASED:
**IF YOU HAVE CEASED BUSINESS: ENTER 2006 Gross Receipts here:
(mm/dd/yyyy)
Successor's Name and Address (If applicable):
PART 1: APPLICANT INFORMATION
Name
FEIN OR SSN:
Name 2
Please remember to submit any applicable payment with this
application to the Post Office box listed above - both this form
Address
and your payment are due by March 1. If you are submitting
your form via fax, please remember to send your payment to
the Post Office box with your account number referenced.
City, State, Zip Code
{
sole proprietor
Fill in:
INDIVIDUAL
PARTNERSHIP
CORPORATION
LLC
NON-PROFIT
partnership
corporation
DATE YOU BEGAN IN ARLINGTON:
(mm/dd/yyyy)
Check here if Arlington business is residence.
ARLINGTON COUNTY BUSINESS ADDRESS, INCLUDING ZIP CODE
LOCAL BUSINESS PHONE ARLINGTON CODE TITLE
SECTION
DETAIL
11-
TRADE NAME USED
FAX NUMBER
DETAILED DESCRIPTION OF BUSINESS
CONTACT PERSON (NAME & TITLE)
TELEPHONE
E-MAIL ADDRESS
Check this box if any changes were made to Part 1.
PART 2: CALCULATION OF TAX
Compute Tax As Instructed (See Reverse For Tax Rates)
• Applicant who was in business throughout 2006, enter the gross receipts for 2006 per applicant's records in Box A.
$
• Applicant who began business after Jan 1, 2006, but prior to Jan 1, 2007, enter gross receipts in 2006 here.
Enter estimated gross receipts in 2007 in Box A. An adjustment will be made in the succeeding year.
• Applicant beginning business on or after Jan 1, 2007, enter estimated gross receipts from beginning of business to December 31, 2007 in Box A.
An adjustment will be made in the succeeding year.
• License tax not based on gross receipts, enter annual tax from reverse side in Box B.
Check this box if you are paying in installments. (see reverse side)
If the gross receipts you entered in Box A are:
A. GROSS RECEIPTS
$
(to the nearest dollar)
* $0 - $10,000: AMOUNT DUE IS $0;
TAX RATE (see reverse)
ENTER $0 in Box B.
* $10,001 - $50,000: AMOUNT DUE IS $30;
B. AMOUNT DUE
$
ENTER $30 in Box B.
* $50,001 - $100,000: AMOUNT DUE IS $50;
$
C. PENALTY (IF LATE)
ENTER $50 in Box B.
* OVER $100,000:
D. TOTAL AMOUNT DUE
$
Multiply gross receipts in box A by tax rate. Enter Result in Box B.
If paying by phone or internet, you must still file this form, either by mail or fax to 703-228-7048.
**For information and instructions on credit card and e-check payment options, go to:
Telephone
Print Name & Title
Signature
Date
E-ma
il Address
MAIL THIS FORM, ALONG WITH check payable to TREASURER, ARLINGTON COUNTY TO THE ADDRESS ON REVERSE USING THE ENCLOSED ENVELOPE
(BE SURE TREASURER'S ADDRESS ON REVERSE SHOWS THROUGH WINDOW OF ENVELOPE)
Keep a copy of this form for your records.
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