Do I need a notary for the Haysi business license application?

No. The application has a signature and date field but no notary block or notarized attachment; the signer just signs and dates it.

How do I submit the Haysi business license application?

Sign and date the application, then mail it to the Town of Haysi, P.O. Box 278, Haysi, VA 24256. The form says checks should be payable to the Town of Haysi.

What information does the application ask for?

It asks for business and owner contact details, the 911 street location, mailing address, federal ID number, business purpose, and gross receipts used to calculate the license tax.

When does the form say the license application is due?

The application’s due date calendar lists March 1 for the business license renewal. It also states that payment after March 1 adds a 10% penalty of the tax.

Haysi, VA · Dickenson County

No notary required

2019 Business License Application (BPOL)

Businesses use this application to request a Town of Haysi business license and report gross receipts for calculating the license tax.

What this form is

The Town of Haysi business license application collects business and owner contact information, the business location and purpose, and gross receipts used to calculate the license tax. The form lists license tax rates, a March 1 due date, and a penalty for late payment. Applicants certify the information is true and complete, sign and date the application, and can review the form’s renewal and business-change information.

Who needs it

A business seeking a Town of Haysi license should complete the application and report its business details and gross receipts.

How to submit it

Send the signed application to the Town of Haysi, P.O. Box 278, Haysi, VA 24256. Make any check payable to the Town of Haysi.

About notarization

This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

1
Download The Application
Download the 2019 Business License Application (BPOL) PDF.
2
Complete The Application
Enter the requested business information and gross receipts, then calculate the license tax using the form’s listed rates.
3
Sign And Date The Form
Certify that the information is true and complete, then provide the required signature, title, and date.
4
Mail It To The Town
Send the application to the Town of Haysi, P.O. Box 278, Haysi, VA 24256; make any check payable to the Town.

Frequently asked questions

Do I need a notary for the Haysi business license application?: No. The application has a signature and date field but no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the Haysi business license application?: Sign and date the application, then mail it to the Town of Haysi, P.O. Box 278, Haysi, VA 24256. The form says checks should be payable to the Town of Haysi.
What information does the application ask for?: It asks for business and owner contact details, the 911 street location, mailing address, federal ID number, business purpose, and gross receipts used to calculate the license tax.
When does the form say the license application is due?: The application’s due date calendar lists March 1 for the business license renewal. It also states that payment after March 1 adds a 10% penalty of the tax.

Need something notarized?

This 2019 Business License Application (BPOL) doesn’t need a notary — but if you have another Haysi form that does, a commissioned online notary can help.