C-287 - 2007 Telecommunications Annual Report Reporting On 2006 Gross Income printable pdf download

STATE OF SOUTH CAROLINA

C-287

DEPARTMENT OF REVENUE

(Rev. 1/22/07)

2007 Telecommunications Annual Report

6232

Reporting on 2006 Gross Income

Instructions: Please verify the company contact information provided below and make the necessary changes in the right

column. Then, complete the annual report listing the gross income from retail telecommunications for the preceding calendar

or fiscal year ending in 2006. If your business has been in operation for less than one year, an estimate of gross income

should be reported for the remainder of the initial year, based on a twelve-month projected income.

Please return this report to the Department of Revenue, at the address listed below, by March 31, 2007.

Corrections:

Current Company Contact Information for

If you currently file with the SC Public Service

Telecommunications Annual Report only:

Commission (PSC) and/or the FCC, you must notify

the PSC and/or FCC of any mergers, company

name changes, closings, or bankruptcies before the

Department of Revenue can update their records.

Business Name:

Business Type:

FEIN:

Contact Person:

Contact Title:

Mailing Address:

Phone:

Toll Phone:

Fax:

E-Mail:

Website:

Gross Income (please complete for all business income):

Competitive Local Exchange (CLEC) Income

1. $___________________________

Local Exchange (ILEC) Income

2. $___________________________

Long Distance (IXC) Income

3. $___________________________

Paging Income

4. $___________________________

Wireless Income

5. $___________________________

Statewide Gross Income (Enter total of lines 1 through 5)

6. $___________________________

(As defined by SC Code Section 58-9-2220)

Note: If your company is engaged in more than one activity, please report gross income by each activity.

Do not include any income from retail store-front product sales.

I do hereby certify that the amounts shown on this annual report are true and correct and in compliance with Section

58-9-2630.

Print Name of Preparer

Signature of Preparer

Title of Preparer

Telephone Number of Preparer

Return to: South Carolina Department of Revenue

Telecommunications

Date

P. O. Box 125

Columbia, SC 29214-1320

Any questions concerning this annual report should be directed to (803) 898-5000.

C-287 - 2007 Telecommunications Annual Report Reporting On 2006 Gross Income

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