Haysi, VA · Dickenson County
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
Download The Application
Download the 2024 Business License Application PDF.
- 2
Complete The Application
Provide the business and owner details, business purpose, federal ID number, and gross receipts requested.
- 3
Review And Sign
Review the information, certify that it is true and complete, and sign and date the application.
- 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.
