Application Form For Annual Business License printable pdf download

HORRY COUNTY BUSINESS LICENSE DEPARTMENT

APPLICATION

Assigned I D #__________

MUST BE

Post Office Box 419, Longs, South Carolina 29568

5/29/01

____________

SUBMITTED PRIOR

Keyed by

Telephone (843) 399-5431 Fax (843) 399-5552

TO START DATE

OR PENALITIES

APPLICATION FOR ANNUAL BUSINESS LICENSE

WILL APPLY

Business License Will Be Issued/Mailed Subject To Approval

New License

Report Additional Gross Income

Amended Form

Change Ownership

Change Location

Pursuant to Section 4 of Ordinance # 88-99

of Horry County, South Carolina, a separate license shall be

(as amended)

required for each place of business and for each classification type of business conducted at one place.

PLEASE - PRINT

ANSWER

ALL INFORMATION –

ALL APPLICABLE QUESTIONS

Corporation

LLC

Name of Business ______________________________________________________

Single Owner

Co-Partnership

Mailing Address _______________________________________________________

Business Phone # _____ ___________________

City:________________________________State __________ Zip_______

Fax #

_____ ___________________

Type of Business______________________________________________

Cell Phone # _____ ___________________

Physical Address of Business:_____________________________________________

Resident Business

Non-Resident Business

(No P. O. Boxes)

(Outside Horry County)

City:________________________State____ Zip ________ Phone #________________ Cell Phone #______________Fax #______________

FEDERAL ID #___________________________________ S C Pyrotechnic License #______________ SS #__________________________

(Fireworks)

(Issued by Clerk of Court Office)

S C State Retail License # ____________________________S C State Contractor Lic # _________________________ Group # ___________

Name of individual responsible for license and/or OWNER: __________________ ______________ ______ Phone #___________________

(Last Name)

(First Name)

(Middle Initial)

Corporation Name ___________________________________________________________________________________________________

Additional REQUIRED Information:

Is the business located within the limits of a municipality?_________ If so, which one?_____________________________________________

START DATE OF BUSINESS IN HORRY COUNTY (Month, day and year)

(M)_______________(D)_________(Y)___________

Tax map number of property

___________________________ Name of property owner _________________________

)

(Where business is located

Is this business conducted out of your Home? Y___ N___ If yes, the Home Occupation Form must be obtained and submitted.

CONTRACTORS

HOSPITALITY

BUSINESS LICENSE:

FEE

Reported Gross Income - Is From Prior Year.

SIC Class Code _____________

Rate Class_________

Reported Gross Income - For Current Year Job(s).

If Reporting By Job(s) This Application Is:

Y___ N___

(a) Gross Income: $ ____________________________

To Report Additional Job(s)

Acct # _________

(Total Revenue)

Actual

Estimated

My Current License # is ________________

(b) Minus: Allowable Deduction: $ _________________

(Income reported on line (a) generated outside the unincorporated area

AMUSEMENT MACHINES Coin Operated

DO YOU SELL

reported to another municipality or county on which a license tax is paid.)

Operator of Machine Y__ N__ # of Machines __

Beer & Wine

$ ___________________________

Distributor Selling or Leasing Machines Y__ N__

Alcohol

Gross Income ____________Fee Due $ ________

Calculated License Fee

$ ____________________

Amusement /Billiard

Fee $ ________________

-Pool Table

Billiards or Pool Tables

) Y___ N___

- (All Types

Dealer Sales Lots

If yes, Number of Tables ___________

Auto, Boat, Motor

Total of License Fees $ ______________________

Owner of Tables Y___ N___

Vechl , Farm Mach:

Penalty

$ __________

(Additional 5% for Each Month Late

Gross Income___________ Fee Due $ _________

- After 5 Months 30% will apply)

Sales Lot within 500’

Total License Fee Due

$ _____________________

of Main

Bingo Y__N__ If Yes, SC State License # _______

-PAYMENT MUST ACCOMPANY APPLICATION –

Showroom Y___N__

Carnivals and Circuses Y ___ N___

Make Checks Payable: 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.

__________________________

_________________________________

_____________________

________________

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Application Form For Annual Business License

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