Business License / Accommodations Tax And Beach Preservation Fee Permit/application Form - Town Of Hilton Head Island
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Town of Hilton Head Island
One Town Center Court
Hilton Head Island, SC 29928
843-341-4677 Fax
843-341-4637
Business License / Accommodations Tax and Beach Preservation Fee
Permit/Application
* REQUIRED FIELD: To avoid any processing delays, please provide all required documentation. We are unable to accept
incomplete applications.
PLEASE PRINT LEGIBILY
*
BUSINESS NAME: _____________________________________________________________________________________________
*
BUSINESS MAILING ADDRESS:
_______________________________________________________________________________
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PHYSICAL ADDRESS OF BUSINESS: ____________________________________________________________________________
Please include UNIT/SUITE # and the name of the commercial property where the business will be located. PO Box’s will not be accepted.
*
*
ATTENTION OR ON-SITE CONTACT PERSON: ______________________________
BUSINESS PHONE #: __________________
Fax: ___________________
EMAIL: _________________________________________________ (required for on line/IVR access)
NAME OF ACCOUNTANT/BOOKEEPER :__________________________ ACCOUNTANT/BOOKEEPER PH #:__________________
❒ IN TOWN
❒ IN COUNTY
❒ OUT OF COUNTY
*LOCATION:
________________________________________________________________________________________
*
TYPE OF ENTITY:
Part 1:
❒ SOLE PROPRIETORSHIP
❒ CORPORATION
❒ PARTNERSHIP
❒ LLC/LLP
❒ OTHER
Part 2:
❒ RETAIL
❒ WHOLESALE
❒ SERVICE
❒ PROFESSIONAL
❒ CONTRACTOR
❒ OTHER
Is this business an affiliate of a Holding or parent Company? Y__N__ If Yes, name of Parent Company:____________________________
Contact information: Contact Name and Position:_______________________________
Contact Phone#:___________________________________
*PRINCIPAL/OWNER(S) NAME: ____________________________________________________________________________________
*
PRINCIPAL/OWNER ADDRESS: __________________________________________________________________________________
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PRINCIPAL/OWNER PHONE NUMBER:_____________________________________________________________________________
SOCIAL SECURITY (Last 4 digits) :___________________ OR FEDERAL EIN #:______________________________________
SC RETAIL #: __________________
SC (LLR) LICENSE #: ___________ EXP. DATE: _____________
TYPE OF LICENSE: ______________________ (i.e. Contractor, Electrical, Medical, Massage, etc.)
PERMIT/ LICENSED BY THE STATE OF SOUTH CAROLINA: A PHOTOCOPY OF THE LICENSE OR PERMIT MUST ACCOMPANY
THIS APPLICATION.
*
BUSINESS TYPE (Retail, Design, Publishing, etc): _______________________________________ *Business Start Date:_________
*DESCRIBE YOUR BUSINESS ACTIVITY IN DETAIL:
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
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