2015 Business License Application Form - Town Of Warsaw, Virginia

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TOWN OF WARSAW, VIRGINIA
2015 BUSINESS LICENSE APPLICATION
The application form is divided into two parts. The top half is where you record pertinent information
about the business and its owner. The bottom half is where the business owner records the gross receipts
for taxation purposes.
A.
Legal Name of Applicant/Mail Address: You must record the legal name of the responsible
management personnel.
B.
Trade Name: Enter the name of the business and the physical location of the business here.
C.
Social Security Number: Social Security Number of Business Owner.
D.
Telephone Number: The business telephone or home telephone number of owner.
E.
State ID Number:
Sales Tax Identification Number.
F.
Federal ID Number: Federal Tax Identification Number issued by the IRS
Customer Number: Leave Blank – This will be assigned when licensed issued.
G.
H.
Type of Business: Please check type of business and enter in the date you began your
business in the Town of Warsaw in the Blank provided.
I.
State Contractors License: If you perform work in the State of Virginia, in excess of $1,000
per job, you MUST secure a State Contractor’s License prior to applying for a Town Business
License. Indicate whether you have a Class A, B, or C license and record that license number
and expiration date. You must provide a copy of your state license when renewing or
applying for a Town Business License. Also attach Form V. W. C. 61-A to your application.
***More than one license tax rate category below may apply to some businesses.***
Example: A Business performing service repairs may also be selling parts as retail.
LICENSE TAX RATES:
Contractors:……. ………..7 cents per $100 of gross receipts
Retailers:………………. ..8 cents per $100 of gross receipts on the 1
st
million dollars
6 cents per $100 of gross receipts on the next two million dollars
5 cents per $100 of gross receipts on the next two million dollars
3 cents per $100 of gross receipts over five million dollars
Professsionals:………….. 19 cents per $100 of gross receipts
Repair, Personal &
Business Services:……… 15 cents per $100 of gross receipts
Wholesalers:……………. 5 cents per $100 of purchases
Financial Services:……… 7 cents per $100 of gross receipts
Real Estate:………………15 cents per $100 of gross receipts
Peddlers ………………….$10 per year (those who purchase fruit, vegetables, and seafood for resale
Flea Market Vendors:…… Annual Receipts of $6,250 or less per year--$ 5.00 per year
Annual Receipts over $6,250 per year—8 cents per $100 of gross receipts
Others:……………………Tax Rates Vary – Call town office for rate (804) 333-3737
Telephone Communications: one half of one percent of the gross receipts of such business from the rental,
subscriptions and stations within the town during the previous calendar year; provided that charges for
long-distance telephone calls shall not be considered receipts of business in town.
st
There is a 10% late payment penalty assessed for all payments received after March 1
.
PLEASE PROVIDE A BRIEF DESCRIPTION OF YOUR BUSINESS ON THE REVERSE SIDE
OF THE 2015 BUSINESS LICENSE APPLICATION
Susan M. Pemberton, Treasurer

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