Charlottesville, VA · City of Charlottesville
Application for Qualified Technology Business
Businesses in Charlottesville use this application to request qualification for a local gross receipts tax credit available to eligible technology businesses.
What this form is
This application asks a business to describe its activities and identify which listed technology-business category applies, along with its contact, location, and business information. It also includes a certification for an authorized representative. The form says existing businesses apply by March 1 of each tax year, while new businesses submit it when applying for a business license or within 30 days of that date.
Who needs it
A Charlottesville business seeking qualification for the technology credit completes this application and provides information about its activities and authorized representative.
How to submit it
Complete the form and return it to the Commissioner of the Revenue, P.O. Box 2964, Charlottesville, Virginia, 22902-2964.
About notarization
This document is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant or representative just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Application for Qualified Technology Business PDF.
- 2
Complete The Business Details
Enter the applicant, business, and representative information requested on the form.
- 3
Describe Qualifying Activities
Check the applicable technology-business activity and briefly describe the business's qualifying activities.
- 4
Sign And Date The Form
Have the applicant or representative complete the certification, sign, and date the application.
- 5
Return The Application
Mail the completed application to the Commissioner of the Revenue at the address shown on the form.
Frequently asked questions
- Do I need a notary for the Application for Qualified Technology Business?
- No. The application has a signature and date line but no notary block or notarized attachment; the applicant or representative just signs and dates it.
- How do I submit the application?
- Complete the form and return it to the Commissioner of the Revenue, P.O. Box 2964, Charlottesville, Virginia, 22902-2964.
- What information does the application ask for?
- It asks for business and representative details, the business activity and qualifying technology category, a description of qualifying activities, and a certification.
- When does the form say to apply?
- The form says existing businesses apply on or before March 1 of each tax year. New businesses submit it when applying for a business license or within 30 days of that date.
Need something notarized?
This Application for Qualified Technology Business doesn’t need a notary — but if you have another Charlottesville form that does, a commissioned online notary can help.