Buying an existing construction business?
If yes, purchased business’ name:
Business leasing space to another business?
Mail business license renewals to mailing address listed in the business information section on the previous page?
If not, corporate address:
Change of use to building?
Independent contractors (Form 1099)?
If yes, names:
If yes, landlord name and address:
Restrictive covenants? If yes, provide copy.
Do you sell food or beverages that are prepared and/or consumed on your premises?
Applicant Certification (Contact the municipality in which you are doing business to determine if a notarized signature is required.)
1. I hereby certify that all information provided is true and correct to the best of my knowledge and that the gross revenue is
accurately reported or estimated for a new business without any unauthorized deduction.
2. I certify that assessments, delinquencies and personal property taxes due to the jurisdiction are fully paid
3. I understand that providing false or fraudulent information may result in penalties, business license revocation and/or
prosecution to the fullest extent possible
am aware of and understand the jurisdiction’s requirements and codes, and the issuance of a business license is contingen
pon strict and consistent compliance with all of the jurisdiction’s requirements
understand that failure to comply with these requirements may result in business license revocation as well as othe
liance or legal effo
also understand and authorize the jurisdiction and its agents to utilize all information on this application to ensure that
other federal, state and local laws are complied with.
Applicant printed name: Signature:
For Office Use Only
Approved by all necessary departments? Yes No
Decal required? Yes No
Contact your city or county business licensing office with questions regarding this form.
Application produced by the South Carolina Business Licensing Officials Association.
The SC Business Licensing Officials Association is an affiliate of the Municipal Association of SC.