Form St-537 - Response To Prepaid Wireless 911 Notification

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
ST-537
RESPONSE TO PREPAID WIRELESS 911
(Rev. 5/2/11)
5236
NOTIFICATION
This is a notice to request information regarding your sales activity. Please complete this form
and mail your response to the South Carolina Department of Revenue within 30 days upon
receipt of this notification. If you are required to register to remit the Prepaid Wireless 911 Fee
and fail to do so, you will subject to the appropriate fees, penalties and interest for failing to
file the return.
Seller's (Owner) Name:
Business Name:
South Carolina File Number:
Physical Address of Business: (Street, City, Zip Code):
Mailing Address of Business: (if different from above):
Check the applicable box below:
I am a seller of prepaid wireless telecommunications service (such as prepaid wireless cell phone cards,
reload of prepaid wireless airtime to mobile phones, etc.).
I am not a seller of prepaid wireless telecommunications service.
Please note: If you later become a seller of prepaid wireless telecommunications services (e.g. a
seller of wireless phone cards which load (add) wireless airtime to a mobile phone when it runs low,
or prepaid wireless cellular phone plans which include minutes of airtime, etc.), you must notify the
SC Department of Revenue when you begin offering prepaid wireless telecommunications service
to consumers and that you will need to receive the forms to remit the prepaid wireless 911 charges.
Signature of Owner/Officer/Partner:
Contact Person:
Telephone Number:
For answers to questions pertaining to this notice, please call (803) 896-1420.
Mail to: SC Department of Revenue, Sales Tax Unit, P.O. Box 125, Columbia SC 29214.
Fax to: (803) 896-1682.
52361011

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