Haysi, VA · Dickenson County
2023 Business License Application (BPOL)
Businesses use this application to report business details and gross receipts and apply for a Town of Haysi business license.
What this form is
This application collects the business name, owner and contact details, location, business purpose, federal ID number, and gross receipts used to calculate the 2023 business license tax. Businesses applying for a Town of Haysi license complete the form, sign and date it, and provide the license fee. The document also lists license tax rates, renewal information, and other business license obligations.
Who needs it
A business seeking a Town of Haysi license should complete and sign this application with its business information and gross receipts.
How to submit it
Mail the signed application and a check payable to the Town of Haysi at P.O. Box 278, Haysi, VA 24256.
About notarization
This document is signed without a notary; the signer just signs and dates the application.
How to submit this form
- 1
Download The Application
Download the 2023 Business License Application PDF.
- 2
Complete The Form
Enter the business, owner, contact, location, purpose, federal ID, and gross receipts information.
- 3
Review And Sign
Check the information, then sign and date the application.
- 4
Prepare Payment
Make the check payable to the Town of Haysi.
- 5
Mail The Application
Mail the signed application and check to P.O. Box 278, Haysi, VA 24256.
Frequently asked questions
- Do I need a notary for the 2023 Business License Application?
- No. This application is signed without a notary; the signer just signs and dates it.
- How do I submit the 2023 Business License Application?
- Mail the signed application and a check payable to the Town of Haysi at P.O. Box 278, Haysi, VA 24256.
- What information does the application ask for?
- It asks for business and owner details, contact information, business location and purpose, a federal ID number, and gross receipts used to compute the license tax.
- Who should complete this application?
- Businesses applying for a Town of Haysi business license should complete and sign the application. It also includes tax rates and license information.