Renewal Application For Annual Business License Form - Horry County Business License Department

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HORRY COUNTY BUSINESS LICENSE DEPARTMENT
Renewal License Due
I D # _____________
Post Office Box 419, Longs, South Carolina 29568
_____________
Upon Receipt. Penalties
Keyed by
Telephone (843) 399-5431 Fax (843) 399-5552
will apply after May 15.
RENEWAL
APPLICATION FOR ANNUAL BUSINESS LICENSE CALENDAR YEAR _______
Business License Will Be Issued/Mailed Subject To Approval.
PLEASE
VERIFY
PRINT
ALL PREPRINTED INFORMATION.
Make Applicable Changes
ONLY.
Location of Business : ______________________________________________
Location Phone #_______________________________
City:__________________________State______ Zip _______
Resident Business
Non-Resident Business
(Outside Horry County)
Corporation
Single Owner
Co-Partnership
LLC
Type of Business________________________________
Corporation Name: ________________________________________
Corporation Phone # _____________________________
SS #__________________________________________
Federal ID #_________________________________
S C Contractors License # ________________________
S C State Retail License # ________________________
BILLIARD TABLES:
Owner (only)
AMUSEMENT MACHINES: Gross Receipts
$_______________
*Lessor of Machine Y___ N___ First $250,000 = $50.00 PLUS:
Gross Receipts
$______________
$1.00 p
Thousand over $250,000 = Total Fee Due $____________
First
= $100.00 PLUS: $1.00
Thous over
$250,000
$250,000
er
per
PLUS #of Tables _____
$5.00
= Fee Due $_________
@
EA
BINGO/CIRCUS:
First
= $100.00 PLUS:
$250,000
*Owner of Machine Y ___N___ Number of Machines ________ x
$1.00
Thous over $250,000 = Fee Due $
$12.50 = $___________ PLUS $12.50 = Total Fee Due $ _________
per
____________
BUSINESS LICENSE FEE CALCULATION:
SIC Class Code ___________
SIC Description __________________________________________
Rate Class___________
******************************************************************************************************************************************
Gross Receipts: $ _________________________ MINUS: $ _____________________
= $ _________________________________
(a)Total Receipts (Revenue Reported to IRS)
(b) Allowable Deduction
(c) (Unincorporated Area of County)
******************************************************************************************************************************************
Contractors:
GROSS RECEIPTS MUST BE WRITTEN
(b) Income reported on line (a) generated outside the
unincorporated area reported to another municipality or
ON APPLICATION. ROUND UP TO
Gross Based on Prior Year
county on which a license tax is paid.
NEXT THOUSAND
Gross Based Per Current Job(s)
Calculate License Fee :
Minimum Fee:
$ _______________________
(d)
Covers
(See sample on back.)
$.00 to $250,000.
Additional Gross (from line (c) over $250,000. (Break down your remaining grosses accordingly and enter on each first line.)
$ 250,001 to $ 1,000,000 ____________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
Declining Rate
Million:
per
$ 1,000,001 to $ 2,000,000 ___________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
$ 2,000,001 to $ 3,000,000 ___________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
$ 3,000,001 to $ 4,000,000 ___________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
$ 4,000,001 to $ 5,000,000 ___________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
Over $5,000,000 ______________________
(Divide by 1,000) = _________________ X $
=
$ _________________________ (e)
(Rate)
Sub-Total: ADD Lines (d)
(e) = $ ____________________(
and
f)
PLUS:
AMUSEMENT Machine Fee
$_______________________
(See Above Sections for Fee)
(g)
BILLIARD/POOL TABLE Fee
$_______________________
(h)
Total: ADD Lines (f) (g) (h)
_______________________ (
$
I)
New Owners / Corp. must complete a
PLUS: Late Penalty -
$_______________________
new application when owner / Corp.
5% Monthly (of line
(I )
(J)
changes. DO NOT use old owners
License Fee Due: ADD Lines (I) & (J)
________________________
$
renewal application.
PAYMENT MUST ACCOMPANY APPLICATION
Make check payable to : Horry County Business License Dept.
I certify under oath that the information given in this license application is true, that the gross income is accurately reported, or estimated for a new
business, without any unauthorized deductions, and that all assessments, fees, licenses, property taxes, and any other charges due and payable to the
County have been paid. I have obtained County permits and am in compliance with all regulatory codes of Horry County. I understand the County
ordinance provides for penalty and license revocation for making false or fraudulent statements on this application.
____________________
____________________________
_________________
________________
SIGNATURE
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