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Application for Prepared Food & Beverage Tax

  1. Margaret S. Torrence
    Commissioner of Revenue
    Franklin County, VA
    1255 Franklin St., Suite 102
    Rocky Mount, VA 24151
    Phone: (540) 483-3083
    Fax: (540) 483-3089

  2. Vendor Type*

  3. Entity Type*

  4. Enter your physical business address (Number and Street Name, City, State, ZIP)

  5. Is mailing address same as above?*

  6. Enter your mailing address (Number and Street Name or PO Box, City, State, ZIP)

  7. CONTACT PLANNING & COMMUNITY DEVELOPMENT

    Please contact the Franklin County Planning & Community Development Office at 540-483-3027 to inquire on zoning regulations that may apply to your business.

  8. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  9. IMPORTANT MESSAGE: The Commission of Revenue office will contact you via phone or email to obtain additional information needed to process this request.

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  11. This field is not part of the form submission.