Online Form - Out of Area Contractors

Business License will not be issued until this fully executed application is completed and returned to the Town Office.
License Tax is due before contractor work begins and is based on gross receipts of over $25,000 per job/project. A penalty of 10% will be levied if business license is not obtained before contractor begins work.

Name of Firm or Business*

Telephone Number*

Business Website

Email Address*

Trading As

FEIN or SS#

Business Address*

Mailing Address*

Same as Business Address

Name of Home Owner or Town Business you are working for

Local Manager / Officer

NOTE: Figure total tax due using gross receipts and rate of taxation AND
(1) If this amount is MORE than $30.00, please pay calculated amount OR
(2) If this amount is LESS than $30.00, please pay the minimum license fee of $30.00.

Gross Receipts (as defined by Sec. 42-143 of the Kilmarnock Town Code)

Rate of Taxation*

Hidden

Total Tax Due (used for calculations)

Total Tax Due

Rate of Taxation

OR
Basic License Fee = $30.00

Important Notice
Tax is based on the Gross Receipts for the preceding year from any business, profession or trade and includes fees, commissions brokerage charges, discounts, sales and services. (See Section 42-143 for full definition). False information that appears above for use in determining applicable taxes will be subject to a fine of not less than $10.00, nor more than $1,000.00. The Treasurer reserves the right to order audits of individuals and/or firms required to complete this form. If the audit demonstrates misrepresentation of Gross Receipts the auditor’s estimate of Gross Receipts plus the cost of the audit and any penalties or late fees will be charged to the auditee and become due immediately.

NOTE:
1. Form 61A must be filled out if you have three (3) or more employees, signed and returned with your license application before we can issue a business license. 2. A copy of your contractor’s license must accompany your application

Attach Contractor's License

Accepted file types: pdf, jpeg, png, gif, Max. file size: 50 MB.

Supported formats: PDF, JPEG, PNG, GIF

Sign Here*

Consent*

agree to electronically sign and to create a legally binding document between the other party and myself, or the entity I am authorized to represent.

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Out of Area Contractors

Town of Kilmarnock

Residents

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Government

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