Business License Application - City Of Poquoson
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1BUSINESS LICENSE APPLICATION
LICENSE YEAR
CITY OF POQUOSON, VIRGINIA
OFFICE USE ONLY
GRAHAM P. WILSON
ACCOUNT NUMBER
COMMISSIONER OF THE REVENUE
500 CITY HALL AVENUE, POQUOSON, VA 23662
TELEPHONE (757) 868-3020
LEGAL OWNER’S NAME (CORPORATE, PARTNERSHIP OR SOLE PROPRIETOR):
CHECK TYPE OF BUSINESS
INDIVIDUAL
PARTNERSHIP
CORPORATION
TRADE NAME:
DATE APPLICANT BEGAN BUSINESS IN POQUOSON
MAILING ADDRESS:
MAIN OFFICE/HOME PHONE
LOCAL BUSINESS PHONE
FAX NUMBER
MOBILE PHONE NUMBER
BUSINESS LOCATION ADDRESS:
EMAIL ADDRESS
NAMES OF CORPORATE OFFICERS:
DETAILED DESCRIPTION OF ALL PROPOSED BUSINESS ACTIVITIES:
NO
CLASSIFICATION
RATE
ESTIMATED GROSS RECEIPTS
LICENSE TAX
1
2
3
4
5
FEDERAL ID NUMBER/SOCIAL SECURITY NUMBER*
SIGNATURE
DATE
* Enter Social Security Number ONLY if business does not have a Federal I.D. Number. If an application has been made for a Federal I.D. Number, please
submit when received.
st
10% penalty for failure to either file an application or pay the tax by March 1
. An additional 10%
penalty may be charged if there is a history of late filing or late payment, when both the application and
st
payment are not received by March 1
.
THIS LICENSE EXPIRES DECEMBER 31, ANNUALLY.
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Parent category: Business