County of Greenville
Hospitality Tax Registration Form
County Square • 301 University Ridge • Suite 200 •Greenville, SC 29601 •Fax (864) 467-7049
Forms are available on our website at www.greenvillecounty.org
Please return forms to: Financial Operations 301 University Ridge Suite 200,
Greenville SC 29601, Fax to (864) 467-7049 or email to hospitalitytax@greenvillecounty.org
Business Information
Owner Information
Mailing Address for all Correspondence
Hospitality Tax Responsibility
Date Opened: _________________ Estimated Monthly Sales Subject to Hospitality Tax: __________________________
D/B/A Business Name _____________________________________________________________________________________
Stat
e Retail License Number: ________________________ Federal ID/SSN: ______________________________________
Physi
cal Location: _________________________________________________________________________________________
City: __________________________________ State: _________________ Zip: ____________________
Busine
ss Phone: ___________________________________ Fax: _____________________________________
Owner, Partnership, or Corporate Charter Name: ______________________________________________________________
Addres
s: __________________________________________________________________________________________________
City:
__________________________________ State: ________________ Zip: _________________________
Contact Name: _________________________________________ Contact Phone: ____________________________________
Name: ___________________________________________________________________________________
Addres
s: __________________________________________________________________________________
City:
______________________________ State: ___________________ Zip: ____________________
Email Address: _______________________________________________________________________________________
Name of Person or Firm Responsible for Reporting Hospitality T
ax: _______________________________________________
Contact Name: __________________________________________
____ Phone: _______________________________________
Email: _________________________________________________
_________________________________________________
Please print name and state issued ID/DL # & state where issued of all authorized to sign checks for h ospitality tax payments.
1) __________________________________________________ 2) _________________________________________________
3) __________________________________________________ 4) _________________________________________________
I Certify that all information on this form is true and correct to the best of my knowledge.
Signature: _____________________________________________________ Date: ___________________________________
Print Name & Title: ______________________________________________ Phone: _________________________________
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