Haysi, VA · Dickenson County

No notary required

2024 Business License Application (BPOL)

Businesses use this application to report their business details and gross receipts when applying for a 2024 Town of Haysi business license.

What this form is

This application is for businesses applying for a 2024 Town of Haysi business license. It asks for business and owner contact details, the business location and purpose, a federal ID number, and gross receipts used to compute the license tax. The form includes a signature certification and a due-date calendar listing March 1 for business license renewal.

Who needs it

A business seeking a 2024 Town of Haysi business license should complete and sign this application.

How to submit it

Mail the signed application and a check payable to the Town of Haysi to P.O. Box 278, Haysi, VA 24256.

About notarization

This application does not require a notary; the signer certifies the information and signs and dates the form.

How to submit this form

  1. 1

    Download The Application

    Download the 2024 Business License Application PDF.

  2. 2

    Complete The Application

    Provide the business and owner details, business purpose, federal ID number, and gross receipts requested.

  3. 3

    Review And Sign

    Review the information, certify that it is true and complete, and sign and date the application.

  4. 4

    Mail It To Haysi

    Mail the signed application and a check payable to the Town of Haysi to P.O. Box 278, Haysi, VA 24256.

Frequently asked questions

Do I need a notary for the 2024 Business License Application?
No. This application has no notary block; the signer certifies the information and signs and dates the form.
How do I submit the 2024 Business License Application?
Mail the signed application and a check payable to the Town of Haysi to P.O. Box 278, Haysi, VA 24256.
What information does the application request?
It requests business and owner contact details, the business location and purpose, a federal ID number, and gross receipts used to compute the license tax.
When does the form list business license renewal as due?
The due-date calendar lists March 1 for business license renewal.

Need something notarized?

This 2024 Business License Application (BPOL) doesn’t need a notary — but if you have another Haysi form that does, a commissioned online notary can help.