What does the Cigarette Tax Retailer Additions and Deletions Form do?

It identifies the wholesaler and provides information about retailers to add or delete, including trade names, addresses, contact people, and phone numbers.

Cigarette tax wholesalers use it to identify their business and report retailer additions or deletions to the Town of Berryville.

Do I need a notary for the Cigarette Tax Retailer Additions and Deletions Form?

No. This form has no notary block, and it lists no sworn or notarized attachment; the signer just signs and dates it.

Berryville, VA · Clarke County

No notary required

Cigarette Tax Retailer Additions and Deletions Form

Wholesalers use this form to identify their business and report cigarette retailers to add or delete from their retailer list.

What this form is

This form lets a cigarette tax wholesaler identify its business and report retailers to add or delete from its retailer list. It requests trade names, business and mailing addresses, contact people, and phone numbers for the wholesaler and each retailer being added or deleted. Use it when updating retailer information with the Town.

Who needs it

Cigarette tax wholesalers use this form to provide their information and report retailer additions or deletions to the Town.

How to submit it

Send the completed form to the Town Treasurer at 101 Chalmers Court, Suite A, Berryville, VA 22611, or email [email protected].

About notarization

This form has no notary block; the document lists no sworn or notarized attachment, so the signer just signs and dates it.

How to submit this form

1
Download the Form
Download the Cigarette Tax Retailer Additions and Deletions Form.
2
Complete Wholesaler Information
Enter the wholesaler’s trade name, business location, mailing address, contact person, and phone number.
3
List Retailer Changes
Provide the requested information for each retailer to add or delete.
4
Submit to the Town
Send the completed form to the Town Treasurer by mail or email using the contact details provided.

Frequently asked questions

What does the Cigarette Tax Retailer Additions and Deletions Form do?: It identifies the wholesaler and provides information about retailers to add or delete, including trade names, addresses, contact people, and phone numbers.
Who uses this form?: Cigarette tax wholesalers use it to identify their business and report retailer additions or deletions to the Town of Berryville.
Do I need a notary for the Cigarette Tax Retailer Additions and Deletions Form?: No. This form has no notary block, and it lists no sworn or notarized attachment; the signer just signs and dates it.
How do I submit the form?: Send it to the Town Treasurer at 101 Chalmers Court, Suite A, Berryville, VA 22611, or email [email protected].

Need something notarized?

This Cigarette Tax Retailer Additions and Deletions Form doesn’t need a notary — but if you have another Berryville form that does, a commissioned online notary can help.