Renewal Business License Application - Horry County Business License Department
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1
2HORRY COUNTY BUSINESS LICENSE DEPARTMENT
I D # _____________
Renewal License Due
Post Office Box 1275, Conway, South Carolina 29528
_____________
Keyed by
Upon Receipt. Penalties
Telephone (843) 915-5620 Fax (843) 915-6220
will apply after April 30.
RENEWAL APPLICATION FOR LICENSE YEAR _____________
License will be mailed after approval of renewal.
PLEASE
PRINT
– VERIFY ALL PREPRINTED INFORMATION.
Make Applicable Changes
ONLY.
License Owner / Agent:
Corporation
Single Owner
Co-Partnership
LLC
Location of Business:___________________________________________
Corporation Name:
___________________________________________
Resident Business
Non-Resident Business
(Outside Horry County)
Type of Business: ________________________________________
________________________________
Location Phone #
_____________________
______________________
SS #
SS #
Federal ID # ____________________________
__________________
S C Contractors License #
__________________
S C State Retail License #
BUSINESS LICENSE FEE CALCULATION:
SIC Class Code:
_____________
SIC Description: __________________________________
Rate Class: _______
GROSS INCOME
s for the Calendar or Fiscal Year _________as Reported to IRS
+
$__________________ (a)
Sales/Receipt
(If not in business for 12 months, estimate income for current license year based on 12 months)
MINUS: Income that is reported to another city/county where a license is obtained
-
$__________________ (b)
GROSS INCOME for License Fee Computation.
____ Estimated
____Actual
=
$__________________ (c)
(Round up to next thousand)
If line C is $250,000 or less, do steps 1, and 8 ONLY. Otherwise, do each step in order until level of gross income is reached.
The First $250,000 from line C is covered by the Base Fee
$ 250,000.00
Base Fee = $ _____________(1)
Step 1
$___________ ÷ 1000 = _______ x
Amount from line C between $250,000 and $1 million
= $ _____________(2)
Step 2
$___________ ÷ 1000 = _______ x
Amount from line C between $1 million and $2 million
= $ _____________(3)
Step 3
$___________ ÷ 1000 = _______ x
Amount from line C between $2 million and $3 million
= $ _____________(4)
Step 4
$___________ ÷ 1000 = _______ x
Amount from line C between $3 million and $4 million
= $ _____________(5)
Step 5
$___________ ÷ 1000 = _______ x
Amount from line C between $4 million and $5 million
= $ _____________(6)
Step 6
$___________ ÷ 1000 = _______ x
Amount from line C over $5 million
= $ _____________(7)
Step 7
TOTAL (add Steps 1 through 7)
SUB TOTAL LICENSE FEE
$ _____________(8)
Step 8
AMUSEMENT MACHINES:
Business where machines are located: Gross Receipts $_______________ First $250,000 =$50.00
Fee Due: ____________
Owner of Machine (only):
Number of Machines ______ x $12.50 = $______________ PLUS $12.50 = Fee Due:_____________
BILLIARD / POOL TABLES (OWNER OF TABLE ONLY)
Gross Receipts $_______________ First $250,000 = $100.00 + # of Tables__________ @ $5.00 EA = Fee Due $________________
Penalty Rates
RECAP OF FEES DUE
May 1 – 31 = 5%
Mail Form along
June 1 – 30 = 10%
A. License Fee Due (from Step 8)
$_________________
with check or money
July 1 – 31 = 15%
B. Amusement Machines (Fee Due)
$_________________
order to the above
Aug. 1 – 31 = 20%
C. Billiard Tables (Fee Due)
$_________________
address.
Sept. 1 - 30 = 25%
D. Plus penalty (see rates)
$_________________
Oct. 1 – 31 = 30% plus $100.00
E. Reinstatement Fee
$_________________
(after Sept. 30.)
New Owners / Corp. must complete a
Total License Fee Due
$______________
new application when owner / Corp.
changes. DO NOT use old owners
Make check payable to: Horry County Business License Dept.
renewal application.
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
PRINT SIGNATURE
TITLE
DATE
SEE BACK OF RENEWAL FOR IMPORTANT INFORMATION
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