Town of Damascus
 PO Box 576, Damascus VA 24236-0576
Office of the Treasurer – Telephone 276-475-3831

APPLICATIONS ARE MAILED AT END OF FEBRUARY EACH YEAR TO CURRENT LICENSEES - DELINQUENT AFTER MAY 1 - A 10% PENALTY APPLIES AFTER MAY 15

BUSINESSES CAN BE LEGALLY CLOSED BY THE TOWN FOR FAILURE TO OBTAIN A LICENSE

APPLICANT_____________________________________________________INDIVIDUAL            _________
                                               
NAME OF BUSINESS_____________________________________________ PARTNERSHIP            _________                  

LOCATION ADDRESS____________________________________________ CORPORATION   _________

MAILING ADDRESS_______________________________________________ TELEPHONE__________________                                           PO BOX OR STREET ADDRESS
                                
                                 _______________________________________________
                                     CITY, STATE AND ZIP CODE
*Home Address of Owner/Manager:__________________________________________________________________________________________________
                                          Street name and number                                        City                                                                           State

*Home Telephone Number of Owner/Manager: _(______)_____________________________________
*Needed in emergency if business is not open.

NATURE OF BUSINESS________________________________________________________________________

BASIS FOR LICENSE

1. Business/Professional operating from January 1, 20____ to December 31, 20____

Provide actual gross receipts for this period

CATEGORY___________ACTUAL GROSS RECEIPTS __________

NOTE: Minimum fee is $50.00

1. Business/Professional commencing new business – FIRST TIME LICENSING FEE IS $50.00 

1. Business/Professional operating less than twelve (12) full months between January 1, 20_____ and

December 31, 20_____ Provide actual gross receipts for months in operation.
Business commenced_____________________________________________________________

     Retail Merchants to sell beer or wine please check____ and add a $25.00 fee for ABC business license.

I (we) hereby certify that amount(s) reported as gross receipts or gross purchases from my business or profession as reported herein are true and correct.

____________________________________________     _______________________________________________
Signature of Applicant                                                                    Signature if other than Applicant

____________________________________________     _______________________________________________
Title                                                                                     Company

Link to home page - Town of Damascus website