Dillwyn, VA · Buckingham County

No notary required

Application For License

Businesses and individuals use this application to request a Town of Dillwyn license and report the information needed to calculate the license tax.

What this form is

The Town of Dillwyn Application For License is used to apply for a license for the period shown on the form, ending December 31. It asks for applicant and business details, contact information, the license type, gross receipts or machine count, and the amount due. The applicant swears or affirms that the information is correct, then signs the application.

Who needs it

Applicants seeking a listed Dillwyn license, including merchants, contractors, professionals, amusement machine operators, peddlers, or itinerant merchants, use this application.

How to submit it

Submit the application to the Town of Dillwyn at 1030 Main Street, P.O. Box 249, Dillwyn, VA 23936. The form says the license tax is payable by March 1 and notes a penalty if received after March 31.

About notarization

This document is signed without a notary; the applicant swears or affirms that the statements are true, but the form does not indicate that this oath must be notarized.

How to submit this form

  1. 1

    Download The Application

    Download the Town of Dillwyn Application For License PDF.

  2. 2

    Complete The Application

    Print clearly and provide applicant, business, contact, license-type, and tax calculation information.

  3. 3

    Sign The Application

    Swear or affirm that the information is true and sign as the applicant or authorized agent.

  4. 4

    Submit To The Town

    Submit the application to the Town of Dillwyn at 1030 Main Street, P.O. Box 249, Dillwyn, VA 23936.

Frequently asked questions

What information does the Dillwyn license application request?
It requests applicant and business names, addresses, contact details, the license type, gross receipts or machine count, and the tax amount.
Do I need a notary for the Dillwyn license application?
No. The form has the applicant swear or affirm that the information is correct and sign; it does not indicate that the oath must be notarized.
How do I submit the Dillwyn license application?
Submit it to the Town of Dillwyn at 1030 Main Street, P.O. Box 249, Dillwyn, VA 23936. The form states that the license tax is payable by March 1.
Which license types are listed on the form?
The form lists retail merchant or contractor, wholesale merchant, professional, amusement machine, and peddler or itinerant merchant licenses.

Need something notarized?

This Application For License doesn’t need a notary — but if you have another Dillwyn form that does, a commissioned online notary can help.