*VAST9R113888*
Form ST-9R
Virginia Schedule of Regional
State Sales and Use Tax
• If you are reporting consolidated sales for business locations in more than one locality or you do not have a fixed location for your business, file Form ST-9B with
Form ST-9 to allocate local sales to the appropriate Virginia locality. You must also file Form ST-9R if you are required to File Form ST-9B and you are reporting
sales in the Northern Virginia or Hampton Roads Regions.
• Sourcing rules are summarized in guidelines for the retail sales and use tax changes enacted by the 2013 General Assembly. See Public Document 13-57
available at
Name
Account Number
10-
Address
Filing Period (Enter month or quarter and year)
City, State, ZIP
Due Date (20th of month following end of period)
Northern Virginia Region
A
B
C
D
E
F
Gross Sales &
Exempt State Sales &
Qualifying Food
Regional Taxable Sales
Locality Name
Code
Personal Use
Other Deductions
Sales & Use
(= C - D - E)
Alexandria City
51510
Arlington County
51013
Fairfax City
51600
Fairfax County
51059
Falls Church City
51610
Loudoun County
51107
Manassas City
51683
Manassas Park City
51685
Prince William County
51153
Totals Northern Virginia
Transfer amount above to
Line 10a, Col. A, Form ST-9.
Hampton Roads Region
A
B
C
D
E
F
Gross Sales &
Exempt State Sales &
Qualifying Food
Regional Taxable Sales
Locality Name
Code
Personal Use
Other Deductions
Sales & Use
(= C - D - E)
Chesapeake City
51550
Franklin City
51620
Hampton City
51650
Isle of Wight County
51093
James City County
51095
Newport News City
51700
Norfolk City
51710
Poquoson City
51735
Portsmouth City
51740
Southampton County
51175
Suffolk City
51800
Virginia Beach City
51810
Williamsburg City
51830
York County
51199
Totals Hampton Roads
Transfer amount above to
Line 10b, Col. A, Form ST-9.
Form ST-9R 6201055 Rev. 03/13