Form Sctc-111 - Business Tax Application

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FOR OFFICE USE ONLY
SOUTH CAROLINA DEPARTMENT OF REVENUE
SID# ___________________
BUSINESS TAX APPLICATION
1350
W/H ____________________
INTERNET REGISTRATION:
SALES __________________
TELEPHONE (803) 896-1350
SCTC-111
USE ____________________
Mail TO: SC DEPARTMENT OF REVENUE
(Rev. 2/18/10)
LICENSE TAX ____________
REGISTRATION UNIT
8011
14-2601
COLUMBIA, SC 29214-0140
TAXES TO BE REGISTERED FOR THIS BUSINESS LOCATION
WITHHOLDING (complete section A)
SALES (complete section C; $50.00 license tax is required)
Nonresident Withholding Exemption (complete section B)
PURCHASER'S CERTIFICATE ( complete section D)
COMPLETE BOTH SIDES OF THIS APPLICATION
PLEASE PRINT OR TYPE ALL INFORMATION
1. OWNER, PARTNERSHIP, OR CORPORATE CHARTER NAME
2. TRADE NAME (DOING BUSINESS AS)
3. PHYSICAL LOCATION OF BUSINESS REQUIRED (NO P.O. BOX)
4. BUSINESS PHONE NUMBER
DAYTIME PHONE NUMBER
STREET
5. FEDERAL IDENTIFICATION NUMBER
CITY
COUNTY (REQUIRED)
STATE
ZIP
7. TYPE OF BUSINESS
AGRICULTURE, FORESTRY, FISHING
PROFESSIONAL, SCIENTIFIC,
6. MAILING ADDRESS (FOR ALL CORRESPONDENCE)
& HUNTING (11)
& TECHNICAL SERVICES (54)
MINING (21)
MANAGEMENT OF COMPANIES
IN CARE OF
UTILITIES (22)
& ENTERPRISES (55)
CONSTRUCTION (23)
ADMINISTRATIVE AND SUPPORT, WASTE
MANUFACTURING (31 -33)
MANAGEMENT & REMEDIATION SERVICES (56)
STREET
WHOLESALE TRADE (42)
EDUCATION SERVICES (61)
RETAIL TRADE (44 - 45)
HEALTH CARE & SOCIAL ASSISTANCE (62)
TRANSPORTATION &
ARTS, ENTERTAINMENT, & RECREATION (71)
CITY
COUNTY
STATE
ZIP
WAREHOUSE (48-49)
ACCOMMODATION & FOOD SERVICES (72)
9. LOCATION OF RECORDS (NO P.O. BOX)
INFORMATION (51)
OTHER SERVICES (81)
FINANCE & INSURANCE (52)
PUBLIC ADMINISTRATION (92)
REAL ESTATE, RENTAL & LEASING (53)
10. TYPE OF OWNERSHIP
8. MAIN BUSINESS (I.E., RETAIL FURNITURE SALES)
SOLE PROPRIETOR (one owner)
PARTNERSHIP (two or more owners, other than LLP)
UNINCORPORATED ASSOCIATION, ENTER LEGAL NAME.
8A. CHECK IF YOU SELL THESE PRODUCTS (for Solid Waste Purposes):
FOREIGN CORPORATION (ATTACH COPY OF ARTICLES OF CERTIFICATE OF AUTHORITY).
MOTOR OIL
LEAD ACID BATTERIES
TIRES
LARGE APPLIANCES
SOUTH CAROLINA CORPORATION DATE INCORPORATED
8B. DO YOU SELL AVIATION GASOLINE/JET FUEL?
YES
NO
OTHER (EXPLAIN)
8C.
DO
YOU
PROVIDE SERVICE TO CELLULAR AND
LLC/LLP FILING AS:
CORPORATION
PARTNERSHIP
SINGLE MEMBER
PERSONAL COMMUNICATIONS USERS?
YES
NO
11. NAME(S) OF BUSINESS OWNER, GENERAL PARTNERS, OFFICERS OR MEMBERS:
IF PARTNER
SOCIAL SECURITY NUMBER
NAME/TITLE/GENERAL PARTNERS
HOME ADDRESS
PERCENT OWNED
ARE YOU A SC RESIDENT? (Y/N) _______________________
HOW LONG HAVE YOU LIVED IN SC? _________________________ (YEARS, MONTHS)
12. HAVE YOU:
D. FORMER OWNER'S S.C.E.S.C. ACCOUNT NUMBER:
A. ACQUIRED ANOTHER BUSINESS?
YES
NO
MERGED WITH ANOTHER BUSINESS?
YES
NO
FORMER OWNER'S S.C.E.S.C. ACCOUNT NUMBER:
FORMED A CORPORATION OR PARTNERSHIP
YES
NO
MADE ANY OTHER CHANGE IN THE OWNERSHIP?
YES
NO
E.
NAME OF BUSINESS ACQUIRED:
B.
DID YOU ACQUIRE: ALL OF THE SOUTH CAROLINA OPERATIONS?
PART OF THE SOUTH CAROLINA OPERATIONS?
PERCENTAGE ACQUIRED:
(Full organization name including trade name)
ADDRESS OF FORMER OWNER:
C.
DATE ACQUIRED OR CHANGED:
YES
NO
WAS THE BUSINESS OPERATING AT THE TIME OF ACQUISITION OR CHANGE?
DATE CLOSED:
YES
NO
DOES THE FORMER OWNER OR LEGAL ENTITY CONTINUE TO HAVE EMPLOYEE?
13. FIRST DATE OF EMPLOYMENT IN S.C.
14. ANTICIPATED DATE OF FIRST S.C.PAYROLL
15. ESTIMATE NUMBER OF EMPLOYEES IN S.C.
mo/day/year
mo/day/year
16. IS BUSINESS WITHIN SC MUNICIPAL LIMITS?
17. IS YOUR BUSINESS SEASONAL?
YES
NO
WHICH CITY?
YES
NO
IF YES, LIST MONTHS ACTIVE.
COMPLETE REVERSE SIDE OF THIS FORM
I CERTIFY THAT ALL INFORMATION ON THIS APPLICATION, INCLUDING ANY ATTACHMENTS, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
SIGNATURE OF OWNER, ALL PARTNERS, OR CORPORATE OFFICER
TITLE
DATE
80111032

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