Haysi, VA · Dickenson County
2020 Business License Application (BPOL)
Businesses use this application to provide business details and calculate the license tax owed to the Town of Haysi.
What this form is
The Town of Haysi business license application collects the business and owner’s contact details, location, federal ID number, and primary business purpose. Applicants use the listed business category rates and gross receipts to calculate the license tax and total due. The form also includes a business license renewal date, payment instructions, and statements that the applicant must sign.
Who needs it
A business applying for a Town of Haysi business license uses this form to report its information and calculate the license tax.
How to submit it
Make checks payable to Town of Haysi and send the application to Town of Haysi, P.O. Box 278, Haysi, VA 24256.
About notarization
This application is signed and dated without a notary; it lists no notarized or sworn attachment, so the applicant just signs and dates it.
How to submit this form
- 1
Download The Application
Download the Town of Haysi business license application PDF.
- 2
Complete Business Details
Enter the business and owner information, business location, federal ID number, and primary business purpose.
- 3
Calculate The License Tax
Use the applicable rate and gross receipts to complete the license tax calculation and total due.
- 4
Sign And Submit
Sign and date the application, make any check payable to the Town of Haysi, and send it to the listed P.O. Box.
Frequently asked questions
- Do I need a notary for the Haysi business license application?
- No. The application calls for the applicant’s signature and date, but it has no notary block or notarized attachment.
- How do I submit the Haysi business license application?
- Make checks payable to the Town of Haysi and send the application to Town of Haysi, P.O. Box 278, Haysi, VA 24256.
- What information does the application ask for?
- It asks for business and owner contact information, the business location and mailing address, federal ID number, primary business purpose, and gross receipts used to calculate the license tax.