Business License Application Form - City Of Fairfax, Virginia - 2009

ADVERTISEMENT

_
__
_ _ _ _
__
_ _ _ _
__ _ _ _
__ _ _
__
__
_ _
__
_
__ _
_
CITY OF FAIRFAX
WILLIAM
PAGE JOHNSON, U
Comrnissioner
ojthe Revenue
City Hall,
Room
224
• J 0455
Armstrong
Street· Fairfax, Virginia 22030
Phone
(703)
385-7880 • fAX
(703)
359-2499 • e-mail
:
pjohnson
fairfaxva.gov
FEDERAL
I.D.
OR SOCIAL SliCURrTY NO.
r .hij:iiMWtilI4¥Ii,
LICENSE NUMBER
APPLICANT'S
NAME
_
_
__ _ _ _
__
_ _ _
__
_
_
__
_ _ _
__
_
INDIVIDUAL
0
CORPORATI
ON
0
TRADE NAME
(if
any)
_
__ _ _ _ _ _
__ _ _
__
_ _
__
_
__
__
_ _
PARTNERSHIP
0
ASSOCIATION
0
MAILING
ADDRESS
BUS.
TEL NO.
CITY
I
STATE
I
ZIP CODE
_
_
__
_ _ _ _
__
_ _ _
__ _
__
_ _ _
__
_
BUS.
FAX NO. _
_ _
__
_
__
_ _
BUSINESS LOCATION
_ _
__
__ _ _
__
_ _
__
__ _
__
_ _ _
__
_
E·MAIL
_ _
__ _
__ _ _
__ _
NATURE OF BUSINESS
_
_
__
_
_ _ _ _ _
__ _
__
_ _
__
_ _
__
_ _
__
_
_
_
_
__
_
__
___
DO
YOU RENT OR LEASE THESE
BUSINESS
NAME
_ _ _
__ _ _
__ _
__
_ _
__
_
__
_ _
__ _
PREM ISES?
0
YES
0
NO
(IF
YES
.
FURNISH
NAME
AND
AOORESS OF
LANDLO
RD
OR
LESSOA.)
...
MAILING ADDRESS _ _
__
_ _
__
_
_
_
_ _ _
__
__ _ _
AMOUNT
OF
ANNUAL
RENT
$
_ _ _ _
__
_
__
CITY
I
STATE
I
ZIP CODE
_
__ _
__
_ _ _
__
__
_ _
__ _
Ent.... e!llfmated
2009 Gross Receipta on
Line 1
Column A.
t
Enter 11118
(__
schedule)
on
Line 1 Column B.
Multiply
Une 1 Column
A
by UM
1
Column B end enter
resull
on line 1 Column
C.
For
License
based
on
Aat
Rate
(see schedule)
2
enler on
Une
2 Column
C.
3
4
5
6
7
OATH:
I, THE
UNDERS
IGNED
APPLI
CANT
DO SWEAR (OR AFFIRM)
THAT
THE FOREGOING
FIGURES
AND
STATEMENTS
ARE TRUE.
FULLAND
CORRECT
TO
T
HE
BESTOF
MY
KNOWLEDGE AND
BELI
EF.
SUBTOTAL:
PENALTY:
INTEREST:
SIGNAnJAE O
F
APPUCAN
r
DATE
TOTAL AMOUNT DUE:
PA INT
OR
TYPE
I'/AME
AHO TrrLE
OF
PEASON
SIGNING
PHONE NUMSEA
•
YOU MUSTREPORTGROSSRECBPTS*
MAKE CHECK PAYABLE
TO:
TREASURER,
CITY OF FAIRFAX
PLEASE
REVIEW
REVERSE SIDE FOR
ADOmONAL
INSTRUCTIONS
COF·ll
/07·BArS

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

City Business License Application Form - City Of Unalaska City Business License Application Form - City Of Unalaska Legal
Business License Application Form - City Of Moreno Valley Business License Application Form - City Of Moreno Valley Business
Business License Application Form (city Of Wilmington, Delaware) Business License Application Form (city Of Wilmington, Delaware) Legal
Business License Application Form - City Of Westport Business License Application Form - City Of Westport Legal
Business License Application Form - City Of Northport, Alabama Business License Application Form - City Of Northport, Alabama Legal
Business License Application Form - City Of Portland, Oregon Business License Application Form - City Of Portland, Oregon Legal
Business License Application Form - City Of Arvada, Co 2011 Business License Application Form - City Of Arvada, Co 2011 Legal
Business License Application Form - City Of Auburn, Oh Business License Application Form - City Of Auburn, Oh Legal
Business License Application Form - City Of Leeds, Alabama Business License Application Form - City Of Leeds, Alabama Business
Business License Application Form - City Of Glenwood Springs Business License Application Form - City Of Glenwood Springs Business

Related Categories

Parent category: Business
Download
Go