Meals Tax Registration Spotsylvania County Form
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1MEALS TAX
Deborah F Williams
Commissioner of the Revenue
REGISTRATION
PO Box 175
Spotsylvania VA 22553-0175
SPOTSYLVANIA COUNTY
Phone: (540) 507-7051
Fax: (540) 582-7421
email: cor@spotsylvania.va.us
Meals Tax Acct # __________
SEPARATE REGISTRATION FORM REQUIRED FOR EACH LOCATION
Owner Name & Mailing Address
Sole Proprietor
Partnership
Corporation
Limited Liability Company
Other
Owner’s Name – (If a Corp, S Corp, LLC, etc., then please give the name as filed with the State Corporation Commission)
Mailing Address: PO Box / Block Street Name
City
State
Zip+4
Identification Numbers:
Social Security
Social Security
Federal ID
Business Name & Physical Address
Trade Name – (Submit a copy of the Trade Name Registration filed at the Clerk of the Circuit Court.)
Instrument # (from Clerk of Circuit Court)
Physical Address:
Block / Street Name
City
State
Zip+4
Contact:
Owner’s Phone
Business Phone
Fax Number
Website:
Email Address:
Business Information
Start Date
(required)
Description of Business:
Va State Sales Tax Registration #
(Spotsylvania Code for reporting sales tax is 51177)
Virginia Corporation - Date of Charter
Foreign Corporation, Date of Qualification
Registered Agent :
Mailing Address:
Block / Street Name
City
State
Zip+4
Signature
I declare that the foregoing statement and figures are true, complete, and correct to best of my knowledge.
____________________________ ____________
or ____________________________ ____________
Signature of Applicant
Date
Authorized Agent
Date
FOR OFFICE USE ONLY
Reviewed by _____________
Date
____ / ____ /____
(rev 5/09)
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Parent category: Financial