Clintwood, VA · Dickenson County

No notary required

Payment Form for Meals Tax

Businesses use this form to calculate and submit meals tax collected on food and beverage sales in the Town of Clintwood.

What this form is

The form calculates meals tax on a business’s food and beverage sales, the business commission for collecting the tax, and the amount payable to the Town of Clintwood. It asks for the business and remitter names, the month covered, total receipts, and tax calculations. The form states that payment is due by the 15th day of the following month.

Who needs it

Businesses collecting meals tax on food and beverage sales in the Town of Clintwood use this form to report the tax and calculate payment.

How to submit it

Make checks payable to the Town of Clintwood and mail payment to P.O. Box 456, Clintwood, VA 24228. Payment is due by the 15th day of the following month.

About notarization

No notary is required; the form has no notary block or signing instruction, and it identifies no sworn attachment or related notarized step.

How to submit this form

  1. 1

    Download the Form

    Download the Town of Clintwood meals tax payment form.

  2. 2

    Complete the Form

    Enter the business and remitter names, the month covered, total receipts, and the requested meals tax calculations.

  3. 3

    Prepare Payment

    Calculate the total tax payable and make the check payable to the Town of Clintwood.

  4. 4

    Mail Payment

    Mail payment to P.O. Box 456, Clintwood, VA 24228, by the 15th day of the following month.

Frequently asked questions

Who uses the Clintwood meals tax payment form?
Businesses reporting meals tax on food and beverage sales in the Town of Clintwood use the form to calculate the tax and amount payable.
How do I submit the meals tax payment form?
Make checks payable to the Town of Clintwood and mail payment to P.O. Box 456, Clintwood, VA 24228. Payment is due by the 15th day of the following month.
Do I need a notary for the meals tax payment form?
No. The form has no notary block or signing instruction, and it identifies no sworn attachment or related notarized step.

Need something notarized?

This Payment Form for Meals Tax doesn’t need a notary — but if you have another Clintwood form that does, a commissioned online notary can help.