Who uses the Clintwood Business License Application?

A business applying for a Clintwood license for January 1 through December 31, 2026, uses this form to provide business and applicant details, identify its license type, and report gross receipts.

What should I include with the application?

The form says to enclose a copy of the most recent Schedule C or another comparable federal document. It also asks for the estimated or preceding-year gross receipts and the license tax amount.

Do I need a notary for the Business License Application?

No. The application has no notary block; the applicant certifies the statements and figures and signs. It does not state that an attachment or related step must be notarized or sworn.

How do I submit the Business License Application?

Return the application and fee to the Town of Clintwood, PO Box 456, Clintwood, VA 24228. The form lists 276-926-8383 for questions.

Clintwood, VA · Dickenson County

No notary required

Business License Application

Businesses use this application to request a Clintwood license and report business details, license type, and estimated or prior-year gross receipts.

What this form is

The Business License Application is for businesses seeking a license from the Town of Clintwood for the period January 1 through December 31, 2026. It asks for business and applicant contact information, the type of business license, and estimated or preceding-year gross receipts. Applicants must enclose a copy of their most recent Schedule C or another comparable federal document.

Who needs it

A business applying for a Clintwood license for 2026 should complete this form and include the requested federal tax document.

How to submit it

Return the application and fee to the Town of Clintwood, PO Box 456, Clintwood, VA 24228. Call 276-926-8383 with questions.

About notarization

This application is signed without a notary; the applicant certifies the statements and figures and signs, with no notarized attachment or sworn step stated.

How to submit this form

1
Download the Application
Download the Business License Application for the 2026 license period.
2
Complete the Form
Enter business and applicant contact information, select the license type, report gross receipts, and sign.
3
Gather the Attachment
Enclose a copy of your most recent Schedule C or another comparable federal document.
4
Return It to the Town
Send the application and fee to the Town of Clintwood, PO Box 456, Clintwood, VA 24228.

Frequently asked questions

Who uses the Clintwood Business License Application?: A business applying for a Clintwood license for January 1 through December 31, 2026, uses this form to provide business and applicant details, identify its license type, and report gross receipts.
What should I include with the application?: The form says to enclose a copy of the most recent Schedule C or another comparable federal document. It also asks for the estimated or preceding-year gross receipts and the license tax amount.
Do I need a notary for the Business License Application?: No. The application has no notary block; the applicant certifies the statements and figures and signs. It does not state that an attachment or related step must be notarized or sworn.
How do I submit the Business License Application?: Return the application and fee to the Town of Clintwood, PO Box 456, Clintwood, VA 24228. The form lists 276-926-8383 for questions.

Need something notarized?

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