Looking for a Sc Tax Forms And Templates? Download it for free!

Form St-10-C - Application For Exemption From Local Tax St-10-C For Construction Contractors

STATE OF SOUTH CAROLINA

DEPARTMENT OF REVENUE

1350

APPLICATION FOR EXEMPTION FROM LOCAL TAX

ST-10-C

FOR CONSTRUCTION CONTRACTORS

(Rev. 9/29/11)

Mail to: SC Department of Revenue, License and Registration,

5014

Columbia, SC 29214-0109

Name of Construction Company:

Office Location of Contractor:

Mailing Address of Contractor:

Phone Number:

FEIN or SSN:

Project Name:

Project Number:

Building Permit Number:

(If no number, enter "NA")

(If known)

Project Location:

Expected Project Completion Date:

A COPY OF THE CONTRACT FOR WHICH AN EXEMPTION CERTIFICATE IS BEING REQUESTED MUST BE SUBMITTED WITH THIS

APPLICATION. ALSO, IF YOU ARE APPLYING FOR AN EXEMPTION CERTIFICATE FOR A CONTRACT EXECUTED AFTER THE IMPOSITION

DATE OF THE LOCAL TAX, A COPY OF THE WRITTEN BID OR PROPOSAL UPON WHICH THE CONTRACT WAS AWARDED MUST ALSO BE

SUBMITTED.

When signing this form, it is important that the information contained in your report be correct and complete. To wilfully

furnish a false or fraudulent statement to the Department is a crime.

Signing for Construction Co.

Title (Corp. Officer, Gen. Ptr., Owner)

Print Name

Date Signed

50141027

Form St-10-C - Application For Exemption From Local Tax St-10-C For Construction Contractors