Haysi, VA · Dickenson County
Business License Application (BPOL)
Businesses use this application to provide business details and calculate the license tax due 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 function. Applicants report gross receipts and calculate the 2018 license tax using the rates listed on page two; the form also lists a $30 license fee and a 10% penalty of the tax for payment after March 1. The applicant certifies the information and signs the form.
Who needs it
A business seeking a Town of Haysi license uses this application to report its information and calculate the license tax.
How to submit it
Mail the completed, signed application and a check payable to Town of Haysi 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 (BPOL) PDF.
- 2
Complete The Application
Enter the business and owner details, report gross receipts, and calculate the tax using the rates shown on page two.
- 3
Sign And Date
Sign and date the application to certify the information.
- 4
Mail The Application
Mail the signed application and check payable to Town of Haysi to P.O. Box 278, Haysi, VA 24256.
Frequently asked questions
- Who uses the Haysi business license application?
- Businesses use the application to provide business and owner details, report gross receipts, and calculate the license tax for a Town of Haysi business license.
- 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 function, and gross receipts used to calculate tax.
- Do I need a notary for the Haysi business license application?
- No. The application is signed and dated without a notary, and it lists no notarized or sworn attachment.
- How do I submit the Haysi business license application?
- Mail the completed, signed application and a check payable to Town of Haysi to Town of Haysi, P.O. Box 278, Haysi, VA 24256.