Haysi, VA · Dickenson County
Business License Application
Businesses use this application to request a Town of Haysi business license and report business, ownership, contact, and gross-receipts information.
What this form is
The application is for businesses seeking a Town of Haysi business license and includes a computation of license tax based on taxable receipts and the applicable business category. It asks for the business and owner names, contact details, location, federal ID number, business purpose, gross receipts, and a signed certification; it also provides tax rates and license information.
Who needs it
A business seeking a Town of Haysi license should complete the application with its ownership, location, business activity, 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. It also lists phone and fax numbers.
About notarization
This document is signed without a notary; the applicant certifies the information, then signs and dates the application.
How to submit this form
- 1
Download The Application
Download the Town of Haysi Business License Application PDF.
- 2
Complete The Business Details
Enter the business and owner information, contact details, address, federal ID number, business purpose, and gross-receipts figures.
- 3
Review And Sign
Review the tax computation and certification, then sign and date the application.
- 4
Send It To The Town
Use the Town of Haysi mailing address shown on the form; make any check payable to the Town of Haysi.
Frequently asked questions
- Who uses the Haysi Business License Application?
- Businesses seeking a Town of Haysi business license use the application to provide business, owner, contact, location, and gross-receipts information.
- What information does the application request?
- It requests the business and owner names, telephone, email or website, street and mailing addresses, federal ID number, business purpose, and gross-receipts figures.
- Do I need a notary for the Haysi Business License Application?
- No. This application has no notary block; the applicant certifies the information and signs and dates the form.
- 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 checks should be payable to the Town. It also provides phone and fax numbers.