Form Sc8822 - Change Of Name / Address / Business Location

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STATE OF SOUTH CAROLINA
1350
DEPARTMENT OF REVENUE
SC8822
CHANGE OF NAME / ADDRESS / BUSINESS
(Rev. 11/5/12)
3314
LOCATION
Please complete this form to notify the South Carolina Department of Revenue of a change of name / address
and/or business location for an individual or business. Please print or type all information.
Check applicable box:
Individual - Complete Part I
Business - Complete Part II
Both - Complete Part I and II
Part I - Individual Change of Name / Address
Effective Date
1. Name
Social Security Number
2. Spouse's Name
Social Security Number
3. Prior Name
Email
(Complete Line 3 if you or your spouse changed last name due to marriage, divorce, etc.)
4a. Old Address
4b. Spouse's Old Address (if different from 4a.)
5.
New Address
6.
New Telephone Number (include Area Code)
(
)
7.
County
Signature
Spouse's Signature
Part II - Business Change of Name / Address / Location
SID #
Important - A change of ownership will require the business to register for new accounts.
Account numbers must be listed before address changes can be made.
Account
#
1. Address Change Applies To:
Corporate
Account
#
Sales*
Account
#
Withholding
Account
#
Other
Effective Date:
*A change to Sales Tax may require the return of your retail license (See Instructions on Reverse).
2.
FEIN (if required by Internal Revenue Service)
3.
New Business Name
4.
Prior Business Name
5.
Owner/Partner/Corporate Name (if different from 4)
Lines 6 and 7 should reflect the physical/street address of the business - no PO boxes.
6.
New Business Address
Previous Business Address
7.
Address
Address
County
County
City
State
Zip
City
State
Zip
8. New Mailing Address
9.
Previous Mailing Address
Address
Address
City
State
Zip
City
State
Zip
10.
Telephone after Date of Change
Email
Telephone Number effective for all taxes?
Yes
No
If not, provide other telephone numbers and specify
applicable taxes.
(Continued on Back)
33141029

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