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BUSINESS LICENSE NUMBER
Application for Business License Payment
All payments for business license renewals, except for payments made
online, must be accompanied by a
signed and completed Applicaon for Business License Payment.
You may access your account and renew online at hp://charleston‐sc.gov/cap.
Business Address
Job Address
(if different than Business Address)
OFFICE USE ONLY
Mo. Day Year
Date of Issue
License Fee
Penalty %
Total Due
Amount
Paid
THIS APPLICATION IS FOR:
New Business License RenewalCorporaonOwnership Change
Partnership Locaon ChangeIndividual
PLEASE REFER TO ORDINANCE FOR INSTRUCTIONS
A. Total gross Receipts for preceding calendar year ending December 31, 2017 or for last
preceding fiscal year period.
From______________________________ to _______________________________
B. ALLOWABLE ORDINANCE DEDUCTIONS (Itemize on a separate sheet and aach hereto)
C. SALES INCOME FOR LICENSE PURPOSE (SEE SECTION 2D)
I (WE) DO HEREBY CERTIFY THAT THE INFORMATION GIVEN IN THIS APPLICATION IS TRUE. THAT THE GROSS INCOME IS ACCURATELY REPORTED, OR ESTIMATED FOR A NEW BUSINESS, WITHOUT
ANY UNAUTHORIZED DEDUCTION, AND THAT ALL ASSESSMENTS AND PERSONAL PROPERTY TAXES DUE AND PAYABLE TO THE CITY HAVE BEEN PAID. I AGREE THAT ALL ORDINANCES RELATING
TO BUILDING, ELECTRICAL, PLUMBING, FIRE, AND ZONING CODES MUST BE COMPLIED WITH BEFORE THIS LICENSE CAN BE ISSUED AND FOR THE DURATION OF THE LICENSE.
SIGNATURE OF APPLICANT_________________________________________________________ PRINT NAME ___________________________________________________________________
DATE _____________________ TITLE _____________________________________________ PHONE NUMBER (______) ________‐____________
Complete and return two copies of applicaon to City of Charleston Revenue Collecons Div. P.O. Box 22009 Charleston, SC 29413‐2009. If you have quesons call (843)724‐3711. If your
busi‐ness closed before the end of 2018, please contact our office.
THIS BUSINESS IS A: Corporaon LLC Partnership Individual
SOUTH CAROLINA RETAIL SALES TAX NUMER (IF APPLICABLE)
__________________________________________________________________________________________
FEDERAL IDENTIFICATION NUMBER:
__________________________________________________________________________________________
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