County of Greenville
" . . . At Your Service"
Local Hospitality Tax Reporting Form
D/B/A Business Name and Location
For Office Use Only
Forms are available on our website at www.greenvillecounty.org
__________________HOSPITALITY TAX COMPUTATION_________________
1. Gross Sales: Prepared food and beverages
2. Hospitality Tax: Line 1 x 2% (.02)
3. Penalty on delinquent returns: Line 2 x 5% (.05) x
number of months delinquent
4. Total Hospitality Tax Due (Add Lines 2 and 3)
$
$
$
$
Enclose check made payable to the County of Greenville - Treasurer.
Include your state retail license number and the period covered on the check.
Signature:
I hereby certify that all of the information stated above is true and accurate to the best of my knowledge and belief.
Print Name & Title:
Date:
Telephone:
Mail Forms and Payments to County of Greenville, Treasurer, 301 University Ridge, Suite 600, Greenville, SC 29601
Direct questions to (864) 467-7567
Rev1208
If you have closed or sold this business, please complete Change of Information form and remit to County of Greenville
State Retail License No.
FEI or SS No.
Tax Period
Due on or Before
Per County Ordinance No. 4079, a 2% Local Hospitality Tax on the gross proceeds from the sale of prepared meals and beverages must be remitted to the County . The
taxes are due on or before the twentieth (20th)of the month following the close of the period. Taxes are considered DELINQUENT if not postmarked on or before the
(20th) twentieth. Please sign and date the return.