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Lodging Tax Registration
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City of Radford Virginia
Cathy Flinchum, MCR
Commissioner of the Revenue
619 Second Street, Room 161
Radford, VA 24141
Name of Business
Location of Business
Mailing Address
Class (Motel, Hotel, Rooming House, Bed and Breakfast, etc.)
Contact Person
Home Address of Contact Person
Business Phone
Contact Phone
Business Fax
Contact Email
Type of Ownership (Individual/Partnership/Corporation)
If Corporation - Name of Official Signing
Business Start Date
Name of Business Succeeding (If Applicable)
Name of Bank
Account Number
Signature
Date
Registration must be filed with the Commissioner of the Revenue prior to the opening of the business.
Any changes are to be reported immediately.
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