Meals Tax Registration Form - Spotsylvania
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1COMMISSIONER OF THE REVENUE
DEBORAH F WILLIAMS
Acct # ________
P O BOX 175
SPOTSYLVANIA, VA 22553
(540) 582-7150
Meals Tax Registration Form
________________________________
___________________________________
Owner’s Name
Name of Business
________________________________
___________________________________
Mailing Address
Physical Address (No P O Boxes)
________________________________
___________________________________
City
State
Zip
City
State
Zip
Social Security # _____/____/______
Federal ID # ___/________________
(
)____-_____
(
)____-_______
Owner’s Phone #
Business Phone #
(
)
_____ Individual
_____ Partnership
______ Corporation
_____ Other
TYPE OF OWNERSHIP:
Check one
_____/_____/______
START DATE :
Month
Day
Year
__________________________________________________________
DESCRIPTION OF BUSINESS:
(example: cafeteria, deli, fast food, restaurant, etc.)
____________________________
VIRGINIA SALES TAX REGISTRATION #:
I/We, the undersigned, hereby certified under penalty of perjury, that the information provided herein
and above, is true and correct to the best of my/our knowledge and belief.
___________________________________________
______________________________________
Signature/Title
Date
Printed Name
* * * SEPARATE REGISTRATION FORM REQUIRED FOR EACH LOCATION * * *
FOR OFFICIAL USE ONLY
Customer Mailing #____________
Customer Business # ____________
Remit Forms Mailed ___________
Business License # _____________
Reviewed by ________________
Date ________________________
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Parent category: Financial