Form R-1 - Business Registration Form

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Form R-1
Virginia Department of Taxation
Business Registration Form
It’s faster and easier to register your business online at If you prefer to register by paper,
please read the instructions carefully as you complete this form.
For assistance with this form, or for information about taxes not listed in this form, please call (804) 367-8057.
Fax the completed form to (804) 367-2603 or mail it to: Virginia Department of Taxation
Registration Unit
PO Box 1114
Richmond, VA 23218-1114
Reason for Submitting this Form:
New Business Registration – Complete pages 2-5.
Add an additional tax responsibility to your existing account – For example you are currently registered
for Sales Tax and you now need to register for Employer Withholding tax. Complete the information below
and pages 4-8 as applicable.
Business Name ____________________________________________________________________
Federal Employer Identification Number (FEIN) _________________________________________
Add a new business location to your existing account – Complete the information below and pages 4-5
as they pertain to Sales and Use Tax.
Business Name ____________________________________________________________________
Account Number or Federal Employer Identification Number (FEIN) ________________________
This Registration Form must be signed by the owner or an officer of the business who is authorized to
sign on behalf of the organization.
__________________________________
________________________________________
Print Name
Title
__________________________________
____________
_____________________
Signature
Date
Contact Phone Number
1

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