Form C-278 -Account Closing Form
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1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
C-278
ACCOUNT CLOSING FORM
(Rev. 10/9/09)
6218
Mail to: South Carolina Department of Revenue, Registration Section, Columbia, SC 29214-0140.
Complete this form if the business is sold, closed permanently or no longer has employees and mail it to the address above.
See back for instructions and spaces for additional closed accounts.
IMPORTANT!!!
ALL INFORMATION, INCLUDING APPROPRIATE DATES, MUST BE RECEIVED TO PROPERLY CLOSE YOUR
ACCOUNT. ONLY PROVIDE THE NINE DIGIT ACCOUNT NUMBER(S) ISSUED TO YOU BY THE DEPARTMENT
OF REVENUE IN THE SPACES BELOW.
Check applicable boxes and fill in the account number and date. ONLY BOXES MARKED WILL BE CLOSED.
Sales (attach retail license)
File/Account #
Permanent Closing Date
Withholding
File/Account #
Date of Final Pay Check
Admission
File/Account #
Permanent Closing Date
Property
File/Account #
Permanent Closing Date
Use Tax
File/Account #
Permanent Closing Date
Other
File/Account #
Permanent Closing Date
CORPORATIONS: See information on next page.
1. SSN OR FEIN:
2. SID (For Office Use Only):
4. CONTACT TELEPHONE NUMBER:
3. OWNER, PARTNERS OR CORPORATE NAME:
(
)
5. NAME OF BUSINESS (DOING BUSINESS AS):
6. PRESENT PHYSICAL LOCATION OF BUSINESS TO BE CLOSED/STREET ADDRESS:
7. CITY
COUNTY
STATE
ZIP
8. PROVIDE A FORWARDING MAILING ADDRESS FOR THE BUSINESS TO BE CLOSED:
9. CITY
STATE
ZIP
If business has been sold, complete section below:
10. PURCHASER'S NAME:
11.TELEPHONE NUMBER:
(
)
12. PURCHASER'S OR NEW OWNER'S STREET ADDRESS:
13.EMAIL:
14. CITY
COUNTY
STATE
ZIP
If you have any questions concerning the closing of your business or completion of this form, please call this office at
803-896-1350
.
Must be the signature of owner, partner or corporate officer.
TAXPAYER'S SIGNATURE
OWNER, PARTNER OR TITLE
DATE
62181029
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Parent category: Financial