Haysi, VA · Dickenson County
Business License Application
Businesses use this application to provide business and owner details, report gross receipts, calculate the license tax, and apply for a Town of Haysi business license.
What this form is
The Town of Haysi Business License Application collects the business name, owner and contact information, business location, primary purpose, and gross receipts used to compute the license tax. Businesses seeking a license complete and sign the application; the document also lists license tax rates, payment information, and due-date details. It says applications must be signed to be valid and asks applicants to report changes to the information provided.
Who needs it
A business applying for a Town of Haysi license should complete this application and provide the requested business and gross-receipts information.
How to submit it
The form lists the Town of Haysi, P.O. Box 278, Haysi, VA 24256, and says to make checks payable to the Town of Haysi. It also provides a phone number and fax number.
About notarization
This application is signed and dated without a notary; the document mentions no notarized or sworn attachment, so the signer 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 The Application
Enter the requested business, owner, contact, location, primary-purpose, and gross-receipts information.
- 3
Review And Sign
Review the information, then sign and date the application; the form says applications must be signed to be valid.
- 4
Submit To The Town
Use the Town of Haysi address shown on the form and make any check payable to the Town of Haysi.
Frequently asked questions
- What is the Haysi Business License Application?
- It is the Town of Haysi application for business license information, including business and owner details, primary purpose, gross receipts, and license tax computation.
- Who should complete this application?
- Businesses applying for a Town of Haysi business license should complete the application, provide the requested information, and sign it.
- Do I need a notary for the Haysi Business License Application?
- No. The application has a signature and date line but no notary block; the signer just signs and dates it.
- How do I submit the Haysi Business License Application?
- The form lists the Town of Haysi, P.O. Box 278, Haysi, VA 24256, and says to make checks payable to the Town of Haysi.