Haysi, VA · Dickenson County

No notary required

2021 Business License Application (BPOL)

This application is for Haysi businesses seeking or renewing a business license and reports business details and gross receipts for license tax computation.

What this form is

Businesses use this application to provide information for a Haysi business license and compute the license tax based on gross receipts and the applicable rate. The form requests business and owner contact details, business location and purpose, federal ID number, receipts and deductions, and a signed certification. Its due date calendar lists March 1 for business license renewal.

Who needs it

A business seeking or renewing a Haysi business license needs to complete the application with its business details, receipts, and required signature.

How to submit it

The application lists Town of Haysi, P.O. Box 278, Haysi, VA 24256, and says checks should be made payable to the Town of Haysi. It also lists a phone number and fax number.

About notarization

This application has no notary block; the signer signs and dates it, and the document does not identify any notarized or sworn attachment.

How to submit this form

  1. 1

    Download The Application

    Download the 2021 Business License Application (BPOL) for Haysi.

  2. 2

    Complete The Business Details

    Enter the business and owner contact details, location, purpose, federal ID number, and gross receipts information.

  3. 3

    Review And Sign

    Review the information and sign and date the certification; the form states applications must be signed to be valid.

  4. 4

    Submit To The Town

    Use the Town of Haysi mailing address printed on the application. Make any check payable to the Town of Haysi.

Frequently asked questions

Do I need a notary for the Haysi business license application?
No. This application has no notary block; the signer signs and dates it, and the document does not identify any notarized or sworn attachment.
How do I submit the Haysi business license application?
The application lists Town of Haysi, P.O. Box 278, Haysi, VA 24256. It also lists phone and fax numbers; check the form for those contact details.
What information does the BPOL application ask for?
It requests business and owner contact information, the business location and purpose, a federal ID number, gross receipts and deductions, and a signed certification.
When does the application list business license renewal as due?
The due date calendar lists March 1 for business license renewal. The application also states that a license application must be signed to be valid.

Need something notarized?

This 2021 Business License Application (BPOL) doesn’t need a notary — but if you have another Haysi form that does, a commissioned online notary can help.