Form R-1 - Business Registration Form Page 5

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telephone services (including Voice Over Internet Protocol), wireless telephone services, cable television, satellite
television, satellite radio, or other communications services.
Watercraft Sales Tax
Effective Date
_______________
This tax is imposed upon the purchaser of any watercraft sold in Virginia and upon the user of any watercraft not
sold in Virginia if required to be titled with the Department of Game and Inland Fisheries for use in Virginia.
Digital Media Fee
Effective Date
______________
This fee is levied on in-room purchases or rentals of digital media in hotels, motels, bed and breakfast
establishments, inns, and other facilities offering guest rooms rented out for continuous occupancy for fewer than
90 consecutive days. Do not register for this tax if the tax will be collected on behalf of the establishment by a third-
party vendor.
Aircraft Sales Tax
Effective Date
_______________
This tax is paid by the aircraft dealer upon the gross receipts derived from the rental or lease of aircraft in Virginia.
Number of Aircraft Owned in the Previous Year ______
Virginia Commercial Fleet Aircraft License Number ________________________________
5.
Seasonal Business – check the months your business is active if you are only open part of the year
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEPT
OCT
NOV
DEC
6.
Specialty Dealer -
check here if you sell at flea markets, craft shows, etc. at various locations in Virginia
EMPLOYER WITHHOLDING TAX
An employer who pays wages to one or more employees is required to deduct and withhold state income taxes from those
wages.
1.
Effective Date you had employees and began paying wages (MM/DD/YY) ___________________
2.
Identify the estimated amount of Virginia Income tax you expect to withhold each quarter for all employees.
Less than $300 per quarter
Between $300 and $3,000 per quarter
Greater than $3,000 per quarter
Virginia Income tax withheld is from Pension Plans only
3.
Mailing Address – entera mailing address specific for Employer Withholding Tax information .
Check here if same as the Primary Mailing Address on page 3.
Address or PO Box _______________________________________________________________
City
__________________________
State ______
ZIP Code ______________
4.
Contact Information – identify a contact person specific to Employer Withholding Tax information.
Check here if same as the Primary Business Contact on page 3.
Name __________________________________
Phone Number
_____________________
5.
Seasonal Business – check the months your business is active if you are only open part of the year.
JAN
FEB
MAR
APR
MAY
JUN
JUL
AUG
SEPT
OCT
NOV
DEC
5

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