Business Change - Notification Form printable pdf download

Business Change - Notification Form

TREASURER OF HORRY COUNTY

JOHNNY C. ALLEN

Hospitality Fee Department

107 Hwy 57 North, Box 2

Mailing Address:

PO Box 419

Little River, South Carolina 29566

Longs, South Carolina 29568

Fax (843) 399-5552

Phone (843) 399-5413

Phone (843) 399-5426

BUSINESS CHANGE - NOTIFICATION FORM

Please complete the following information in print.

Current Business Name : ____________________________________________________________________________

Hospitality Fee Account # : ___________________________

• BUSINESS SOLD: NEW OWNERS

New Owner : ____________________________________________ Date of Sale : ___________________________

Corporation Name : _______________________________________ Phone Number : ________________________

Contact Person : _________________________________________ Fax Number : __________________________

Federal Tax ID Number (or SS#) : ____________________________ County Business License Number : _________

New Mailing Address : __________________________________________________________________________

• BUSINESS PERMINATELY CLOSED

Date of Closure : ______________________________________

• CHANGE OF BUSINESS LOCATION ONLY

New Location Address : _________________________________________________________________________

_____________________________________________________________________________________________

• OTHER BUSINESS CHANGES

New Corporation - Name : ________________________________________ Phone Number : _________________

- Mailing Address : _______________________________________________________________

Change in Business Name Only – New Name : ________________________________________________________

New Contact Person : _______________________________________ Phone Number :_______________________

Signature: _____________________________________________________ Date : _________________________

Printed Name : _______________________________________________ Phone Number : __________________

Title : _______________________________________________________

Hospitality Fee Department, Horry County Treasurer’s Office, P O Box 419, Longs SC 29568

Please mail this form to:

Business Change - Notification Form