Business Registration Application Form - County Of Greenville
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1County of Greenville
Business Registration Application
301 University Ridge, Suite 1000
Greenville, SC 29601
Phone (864) 467-7300
Application Year __________
Registration # ____________
Business Owner ___________________________________
Business Name ____________________________________
C/O _____________________________________________
Physical Business Location ___________________________
Mailing Address ___________________________________
City/State/Zip ______________________________________
City/State/Zip _____________________________________
Telephone _______________________________________
Telephone __________________ Fax __________________
Number of Employees ________ Ownership: (check One)
Check All Applicable Blocks
Corp ( ) Indiv ( ) Partn ( ) LLC ( ) LLP ( )
Registration
New ( )
Renewal ( )
Type of Business Activity
Ownership Change ( )
Location Change ( )
Out of Business ( ) Closing Date _________________
Agricultural, Forestry,
Professional Scientific &
[ ]
[ ]
Fishing, Hunting (11)
Technical Services (54)
Real Estate Tax Map Number
Management of Companies &
[ ]
[ ]
Mining (21)
Enterprises (55)
_________________________________________________
Administrative and Support,
[ ]
[ ]
Utilities (22)
Waste Mgmt & Remediation
Real Estate Owner _________________________________
(56)
[ ]
[ ]
Mailing Address ____________________________________
Construction (23)
Education Services (61)
Health Care & Social
[ ]
Manufacturing (31-33)
[ ]
City/State/Zip ______________________________________
Assistance (62)
Telephone Number _________________________________
Arts, Entertainment &
[ ]
[ ]
Wholesale Trade (42)
Recreation (71)
Accommodation & Food
[ ]
[ ]
Retail Trade (44-45)
Services (72)
State File Number __________________________________
Transportation and
[ ]
[ ]
Other Services (81)
Warehouse (48-49)
SC Dept. of Revenue PT 100 # ________________________
Real Estate, Rental & Leasing
[ ]
[ ]
Information (51)
(53)
Finance & Insurance
[ ]
(52)
Federal ID Number/ SSN # ___________________________
Bars, Taverns, Pubs,
[ ]
Nightclubs (72241)
Person Completing Application (Print Name) _________________________________________________________________
Title of Applicant _______________________________________________________________________________________
Mailing Address ___________________________________________ City/State/Zip _________________________________
E-mail _______________________________________________
Day Phone ____________________________________
I attest, under penalty of perjury, I am in compliance with the Immigration Reform and Control Act of 1986 (Department of
Homeland Security Form I-9, Employment Eligibility Verification)
Signature __________________________________________________
Date ___________________________________
New Businesses Must Register with the County Prior to Beginning Operation.
RENEWAL BUSINESS REGISTRATIONS MUST BE FILED PRIOR TO DECEMBER 31 EACH YEAR.
COUNTY OF GREENVILLE
BUSINESS REGISTRATION APPLICATION
301 University Ridge, Suite 1000
Greenville, SC 29601
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