Who should file the Out of Town Contractor Application?

Contractors conducting work at Middleburg sites whose total business within town limits exceeds $25,000 in a year should file the application.

What supporting documents are required?

Include a current Virginia DPOR state license and a Virginia Workers’ Compensation Commission coverage certification. General contractors must also provide a subcontractor list for each job.

Do I need a notary for the Out of Town Contractor Application?

No. The application has no notary block; the owner, CEO, partner, or officer signs and dates it. The listed supporting documents are not identified as notarized or sworn.

How do I submit the Out of Town Contractor Application?

The form lists treasurer@middleburgva.gov and PO Box 187, Middleburg, VA 20118. It also provides an overnight mailing address: 10 W Marshall St., Middleburg, VA 20117.

Middleburg, VA · Loudoun County

No notary required

Out of Town Contractor Application

Out-of-town contractors use this application to report Middleburg job sites and gross receipts when applying for a town business license.

What this form is

This application is for contractors conducting work at sites in Middleburg and covers the town business license tax when their business in town exceeds $25,000 in a year. It asks for business and contact details, job-site addresses, completion dates, contracted amounts, gross receipts, and a signature. Applicants must include a current DPOR state license and workers’ compensation coverage certification; general contractors must also provide a subcontractor list for each job.

Who needs it

Contractors working at sites in Middleburg whose total business within town limits exceeds $25,000 in a year need to file this application.

How to submit it

The form lists the Treasurer’s email, [email protected], and the mailing address PO Box 187, Middleburg, VA 20118. It also gives an overnight mailing address of 10 W Marshall St., Middleburg, VA 20117.

About notarization

This application has no notary block; the owner, CEO, partner, or officer signs and dates it, and the listed supporting documents are not identified as notarized or sworn.

How to submit this form

1
Download The Application
Download the Out of Town Contractor Application PDF.
2
Complete The Business And Job Details
Enter business and contact information, Middleburg job-site details, completion dates, contracted amounts, gross receipts, and the required signature and date.
3
Gather Required Documents
Include a current DPOR state license and workers’ compensation coverage certification. General contractors must provide a subcontractor list for each job.
4
Submit To The Town
Use the Treasurer’s email or the mailing address listed on the form; an overnight mailing address is also provided.

Frequently asked questions

Who should file the Out of Town Contractor Application?: Contractors conducting work at Middleburg sites whose total business within town limits exceeds $25,000 in a year should file the application.
What supporting documents are required?: Include a current Virginia DPOR state license and a Virginia Workers’ Compensation Commission coverage certification. General contractors must also provide a subcontractor list for each job.
Do I need a notary for the Out of Town Contractor Application?: No. The application has no notary block; the owner, CEO, partner, or officer signs and dates it. The listed supporting documents are not identified as notarized or sworn.
How do I submit the Out of Town Contractor Application?: The form lists [email protected] and PO Box 187, Middleburg, VA 20118. It also provides an overnight mailing address: 10 W Marshall St., Middleburg, VA 20117.

Need something notarized?

This Out of Town Contractor Application doesn’t need a notary — but if you have another Middleburg form that does, a commissioned online notary can help.