Form Abl-29a - Application For Business Annual Local Option Permit
ADVERTISEMENT
1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ABL-29A
APPLICATION FOR BUSINESS
(Rev. 7/30/07)
ANNUAL LOCAL OPTION PERMIT
4311
For Office Use Only
Mail to: SCDOR, ABL Section, Columbia, SC 29214-0908
File Number
Telephone: (803) 898-5864
DOR Website:
Period Covered
DLN
DLN
LOP
14-3971
$ 50
SLED
34-3973-9300
Important Information: You may apply for this permit in person at the SC Department of Revenue, 301 Gervais St,
Columbia SC or at our Taxpayer Service Centers located in: Charleston - 3 Southpark Circle, Suite 202; Florence - 1452
West Evans St; Greenville - 211 Century Drive, Suite 210-B; Rock Hill - Business and Technology Center, 454 S
Anderson Rd, Suite 202. Taxpayer Service Centers will not accept mailed applications.
PLEASE TYPE OR PRINT:
1. Name
Title
2. Type of business
(
) Hotel/Motel
(
) Restaurant
3. Business name
4. Business address
Street number/name, box number, rural route
City
County
Zip Code
5. Federal ID Number
6. Retail License number
Telephone number
Date(s) permit being applied for:
MONTH/YEAR
SUNDAY DATE
FEES DUE
BEGINNING
ENDING
Total fees due all dates
$
I certify by my signature below that a permanent minibottle license has been issued in my name at the address
shown in item four above. I understand if a violation of any alcoholic beverage laws or regulations occurs
during the period covered by the local option permit, that I and/or the organization may be charged and if found
guilty, that all permanent licenses/permits and unexpired local option permits may be suspended or revoked
and all permit fees forfeited. I further certify that the business located at the address shown in item four above
is in the city/county limits of
and that a local referendum has been passed authorizing the
issuance of the local option permit applied for.
Applicant, individually and on behalf of the organization
43111020
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial