Form R-1 - Business Registration Form Page 8

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Small Grains Assessment
Effective Date
_______________
This assessment is levied on all sales of wheat, barley, rye, and oats produced in Virginia. The handler of small
grains who purchases such grains produced in Virginia should deduct from payments made to the farmer the
amount of the assessment and remit this amount to the Department of Taxation. The term “handler” includes any
farmer who transports and sells his own grain out of state.
Sheep Assessment
Effective Date
_______________
This assessment is levied on sheep and lambs sold in Virginia. The handler is responsible for payment of the
assessment. The assessment must be deducted by the handlers from payments to owners of the sheep and
lambs.
Soybean Assessment
Effective Date
_______________
The first buyer (whoever pays the producer, country elevator, terminal, processor, seeds man, trucker, or extruder)
is responsible for collecting a soybean assessment from the producer. First-buyers will be required to collect on all
soybeans purchased (provisions are in place to identify soybeans checked-off at a previous sale point) regardless
of the state of origin.
Peanut Excise Tax
Effective Date
_______________
This tax is levied on peanuts grown and sold in Virginia for processing. The processor is liable for the payment of
the tax on all peanuts such processor purchases.
Cotton Assessment
Effective Date
_______________
This assessment is levied on any cotton sold in Virginia. The handler is responsible for deducting the assessment
from payments for cotton purchased from the owner. For purposes of this assessment “handler” means a
commercial enterprise that gins cotton.
INSURANCE PREMIUM LICENSE TAX
Complete this section only if you are an insurance company pending licensure by the Virginia State Corporation Commission
Bureau of Insurance (Bureau of Insurance) or a surplus lines broker recently issued a license by the Virginia Bureau of
Insurance and liable for the insurance premiums license tax. Insurance companies must also complete and attach the
Declaration of Estimated Insurance Premiums License Tax, Form R-1A. Form R-1A is available to download or print on our
website,
Surplus Lines Broker
Producer Number
Insurance Company (Enter the information provided by the Bureau of Insurance below)
Company Type
Company Sub-Type
License Number
State of Domicile
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