Pearisburg, VA · Giles County

No notary required

Cigarette Tax Stamps Order Form

This order form is for applicants requesting cigarette tax stamps from the Town of Pearisburg and includes fields for stamp quantities and payment.

What this form is

Applicants use this form to request heat-applied cigarette tax stamps from the Town Treasurer. It asks for the applicant's name, mailing address, federal tax identification number, number of rolls, and payment amounts; stamps are sold only in rolls of 15,000. The form lists a $14-per-roll mail fee and asks applicants ordering more than two rolls to call.

Who needs it

An applicant requesting cigarette tax stamps from the Town of Pearisburg should complete this form and provide the requested applicant and order details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The form names the Town Treasurer and lists the Town's address and phone number.

About notarization

This document is signed without a notary; the applicant signs the order form, and no notarized or sworn attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Cigarette Tax Stamps Order Form.

  2. 2

    Complete Applicant And Order Details

    Fill in the applicant name, mailing address, federal tax identification number, stamp type, rolls ordered, and payment amounts.

  3. 3

    Prepare Payment

    Make the check payable to the Town of Pearisburg. The form lists a $14 mail fee per roll.

  4. 4

    Submit To The Town

    Submit the signed form to the Town Treasurer using the contact details listed on the form; check the city website for current details.

Frequently asked questions

Do I need a notary for the Cigarette Tax Stamps Order Form?
No. The form has an applicant signature line but no notary block or notarized attachment; the applicant signs the form.
How do I submit the Cigarette Tax Stamps Order Form?
The form names the Town Treasurer and lists the Town of Pearisburg at 112 Tazewell Street, Pearisburg, VA 24134. Check the city website for current contact details.
What information does the order form request?
It requests the applicant's name, mailing address, federal tax identification number, stamp type, number of rolls, and payment amounts.
How are cigarette tax stamps sold?
The form says heat-applied stamps are sold only in rolls of 15,000. It lists a $14 mail fee per roll and asks applicants ordering more than two rolls to call.

Need something notarized?

This Cigarette Tax Stamps Order Form doesn’t need a notary — but if you have another Pearisburg form that does, a commissioned online notary can help.