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            Pri nc e  W ill ia m  Co unt y 
            Ta x  A dm i ni str ati on                                                                                            BUSINESS LICENSE APPLICATION
            PO  Box  24 67 ,  Woodb r i dg   e,  VA  2 2   195 - 24 67 
            Phon   e :  7 03 -7 92- 67 10    E mai l: taxpayerservices@pwcgov.org                     To manage your taxes and pay on-line go to 
                                                                                                      tax.pwcgov.org. 
                                                                                                                                                                                2022
RENEWAL APPLICATION AND PAYMENT IN FULL IS DUE ON OR BEFORE MARCH 1, 2022.NEW BUSINESSES BEGINNING ON OR AFTER JANUARY 1, 202 ,2HAVE 30 DAYS TO 
MAKE APPLICATION AND REMIT PAYMENT. 

Company/Owner Name  ___________________________________________                                       ADDITIONAL INFORMATION REQUIRED FOR CONSTRUCTION, 
Business Trade Name  ____________________________________________                                       REMOVAL, REPAIR, OR IMPROVEMENT CONTRACTORS 
All new license applicants must provide proof of trade/fictitious name registration with the Virginia To be issued a license for a contractor/home improvement business, 
State Corporation Commission.                                                                         you must provide the license number and a copy of a valid Virginia 
Federal ID / SSN  ________________________________________________                                    Class A, B, or C Contractors License issued in your business name 
                                                                                                      by the Board for Contractors. 
 Sole Proprietor  –Business Owner is Legally Present in the United States
 Partnership  –All Partners are Legally Present in the United States                                 Virginia Contractors License No.  ____________________________ 
                                                                                                      
The applicant, in submitting this business license application on behalf of a sole                      Class ‘A’    Class ‘B’    Class ‘C’
proprietor or partnership as business owner, hereby certifies that the sole 
proprietor or each and every partner is lawfully authorized to be present and to                      All Contractors must complete a Contractor’s Certificate of Workers’ 
work in the United States pursuant to all applicable federal laws and regulations                     Compensation Insurance. Code of Virginia 58.1-3714 prohibits a 
for the full duration of the license period covered by this application. For General                  county from issuing or reissuing a business license to a contractor 
or Limited Partnerships, you must provide proof that your business entity is                          who has not obtained or is not maintaining workers’ compensation 
registered with the Virginia State Corporation Commission. 
                                                                                                      coverage for his employees if such coverage is required. 
 Corporation    LLC or PLLC
                                                                                                      Complete the following only if applicant is a Virginia-based Contractor 
Provide business entity registration with Virginia State Corporation Commission. 
                                                                                                      with a principal office located in a jurisdiction other than Prince 
Tax Contact Name  _______________________________________________                                     William County: 
E-mail Address __________________________________________________                                     ▪ Name of Virginia jurisdiction where
Mailing Address  _________________________________________________                                      principal office is located  ______________________________
 ______________________________________________________________                                       ▪ Does locality impose a local business license tax?  __________
Phone Number  __________________________________________________                                        If Yes, please provide a copy with the application.
Date Business Began in Prince William County _________________________                                ▪ A copy of the Home Jurisdiction current year Business License
Business Location  _______________________________________________  
All new license applicants must provide either a copy of your Certificate of Occupancy, Home                                        OFFICE USE 
Occupation Certificate, or Home Employment Certificate 
                                                                                                          Acct. No. 
Detailed Description of Business  ____________________________________  
                                                                                                          Code 
NAICS Code ________________ Number of Employees _________________ 
                                                                                                          Date Filed 
                                                                     CALCULATE LICENSE TAX DUE 
                       Gross receipts means whole, entire, total gross receipts, without any deductions. 
        Enter tax rate for business classification from reverse side Table C, Part A   ............................................... 
1. 
2.      Enter total 202 1business gross receipts, or if a new business (business started on or after January 1,
        2022), an estimate of your 202 2gross receipts. Wholesale merchants report total gross purchases rather
        than gross receipts   ...................................................................................................................................... 
3.      Enter allowable adjustments from reverse side Table A, Line 4   .................................................................. 
4.      Subtract Line 3 from Line 2. This is your taxable gross receipts   ................................................................. 
5.      Enter $0 if the amount on Line 4 above is less than $500,000
           otherwise
         Divide Line 4 by $100, and then multiply by the tax rate entered on Line 1   ............................................... 
6.      If business began after 1/1/202 1but before 1/1/202 ,2complete reverse side Table B. Then enter the
        adjustment amount to the 202 1license tax for new businesses from reverse side Table B, Line 5   ...........
7.      Enter flat rate license tax from reverse side Table C, Part B.  NOTE:  Restaurants serving mixed drinks must
        include the appropriate Flat Rate License Tax in addition to the license tax due calculated above   ............ 
8.      Add the amounts on Line 5, Line 6 and Line 7 above. This is your 202 2license tax due   ...........................                                          Tax         ____________________ 
        Make check payable to: PRINCE WILLIAM COUNTY, PO BOX 2467, WOODBRIDGE VA 22195-2467                                                                          Penalty   ____________________ 
        Add a 10% late payment penalty and daily interest calculated at a rate of 10% per annum if paying after MARCH 1, 2022, for                                   Interest   ____________________ 
        existing businesses or MORE THAN 30 DAYS PAST THE START DATE for new businesses. 
                                                                                                                                                                     TOTAL   ____________________ 
It is a misdemeanor for any person to willfully subscribe an application that he does not believe to be true and correct as to every material matter. Businesses are subject to audit by Prince 
William County pursuant to Virginia Code 58.1-3109. I declare that the statements and figures herein given are true, full and correct to the best of my knowledge and belief. 
APPLICANT’S SIGNATURE                                                                                                       DATE 



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                                              TABLE A  ALLOWABLE ADJUSTMENTS 
    To Be Completed Only By Gasoline/Diesel Fuel Supplier/Wholesalers, Restaurants That Sell Mixed Drinks, and Contractors 
Any business claiming an exclusion must attach the supporting documentation required. Failure to provide required documentation may result in the denial of the exclusion. Expenses are not an 
                               allowable exclusion for most businesses. See “Requirements” sheet for accepted documentation. 

1. Gasoline/Diesel Fuel Supplier/Wholesalers enter 202 1State/Federal excise fuel tax collected on Motor
   Vehicle Fuels  ...............................................................................................................................................  
2. Restaurants that sell mixed drinks enter 202 1mixed beverage sales (excluding beer and wine sales)  .....
3. Contractors located in Prince William County may subtract 202 1gross receipts that exceed $25,000 from
   work done in other Virginia jurisdictions that impose a similar business license tax, but only if the amount
   subtracted is reported to the other Virginia jurisdictions. YOU MUST PROVIDE A COPY OF YOUR
   COMPLETED BUSINESS LICENSE APPLICATION FROM THESE JURISDICTIONS OR THE
   ADJUSTMENT WILL BE DISALLOWED (Virginia Code 58.1-3715)  ..........................................................  

4. Add Lines 1 through 3. This is your total allowable adjustments. Enter here and on reverse side, Line 3  ..

                                            TABLE B  ADJUSTMENT TO 20 21LICENSE TAX
                                 Complete Only If Business Began After 1/1/20 21and Before 1/1/202      2

1. Enter tax rate for business classification from Table C, Part A   ..................................................................  
2. Enter your 202 1taxable gross receipts amount from reverse side Line 4  ..................................................
3. Enter $0 if the amount on Line 2 above is less than $500,000.
     otherwise 
   Divide Line 2 by $100, and then multiply by the tax rate entered on Line 1  ................................................  
4. Enter the license tax paid when your 202 1Business License was issued  ..................................................
5. Subtract Line 4 from Line 3. If the result is less than $0, enter the negative amount.  This is the
   adjustment amount to the 202 1license tax. Enter here and on reverse side, Line 6  ..................................

                                                 TABLE C  TAX RATE SCHEDULE           
PART A:  TAX RATE SCHEDULE FOR LICENSE TAX BASED ON TAXABLE GROSS RECEIPTS 
                                                                                                                                                                               Tax Rate per $100 
Business Classification                                                                                                                                                        Taxable Gross Receipts 
Professional occupations (PR)  ...................................................................................................................................             $ 0.33 
Retail merchants (RT)  ................................................................................................................................................        $ 0.17 
Wholesale merchants (WS)  ........................................................................................................................................             $ 0.05 
Prince William County-based contractors, builders & developers or out-of-state contractors, builders 
or developers (CO)  .....................................................................................................................................................      $ 0.13 
Contractors located in another Virginia jurisdiction which imposes a BPOL or similar tax (RC)  ................................                                                $ 0.13 
Financial service providers; including credit agencies, and investment, securities, or commodities dealers (FI)  ......                                                        $ 0.33 
Real estate service providers; including appraiser, broker, management or rental agent (RE)  .................................                                                 $ 0.33 
Hotel, motel or lodging establishments (HO)  ..............................................................................................................                    $ 0.26 
Direct sellers (DS)  ......................................................................................................................................................    $ 0.17 
Public Utility (PU)  ........................................................................................................................................................  $ 0.29 
Repair, personal or business services; or other services not elsewhere classified (OS)  ...........................................                                            $ 0.21 

PART B:  TAX RATE SCHEDULE  FOR FLAT RATE LICENSES 
Business Classification                                                                                                                                                        Flat Rate Amount 
Restaurants serving mixed drinks with a seating capacity of no more than 100 persons (A1)  ..................................                                                  $ 200.00 
Restaurants serving mixed drinks with a seating capacity of at least 101 but no more than 150 persons (A2)  .........                                                          $ 350.00 
Restaurants serving mixed drinks with a seating capacity of 151 persons or greater (A3)  ........................................                                              $ 500.00 
Non-profit or private clubs serving mixed drinks (A4)  .................................................................................................                       $ 500.00 
Peddlers and other persons selling perishable goods place to place or at a temporary location (PE)  .......................                                                    $ 500.00 
Itinerant merchant or itinerant event sponsor (IT)  ......................................................................................................                     $ 500.00 

                        No business license will be issued until all delinquent business license and tangible personal property 
                           taxes owed by the applicant to Prince William County have been paid (VA Code 58.1-3700). 






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