11. Purchaser's certificate of registration for Use Tax: effective date of registration (MM-DD-YY)
10. Is physical location within municipal limits?
Yes No
Which municipality?
Are you an SC resident? Yes No
How long have you lived in SC? YR MO
15. Location of records (no PO Box)
12. Is your business seasonal? Yes If yes, list months active:
No If no, filing status is monthly. See instructions for more information.
13. How many retail sales locations do you operate in SC under your ownership?
You must file a zero return for active periods with no sales.
14. Trade name or business name
In and out-of-state sellers. A retail license will not be issued to a person with any outstanding state tax liability.
16. Main business (i.e., Retail Sales, Manufacturing, Service, etc.)
Section B: Retail Sales/Accommodations/Artist & Craftsman License/Use Tax
17. Anticipated date of first retail sales (MM-DD-YY)
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
TAX REGISTRATION APPLICATION
Register online at MyDORWAY.dor.sc.gov
SCDOR-111
(Rev. 12/18/19)
8048
1350
80481013
Lead Acid Batteries
19. Check if you sell these products
Motor Oil Large Appliances
Agriculture, Forestry,
Fishing, & Hunting (11)
Mining (21)
Utilities (22)
Construction (23)
Manufacturing (31-33)
Wholesale Trade (42)
Durable Medical
Equipment (44)
18. Type of business
Max Tax (Vehicles) (44)
Retail Trade (44-45)
Artists & Craftsman (45)
Transportation &
Warehouse (48-49)
Information (51)
Finance & Insurance (52)
Real Estate, Rental &
Leasing (53)
Professional, Scientific,
& Technical Services (54)
Management of Companies
& Enterprises(55)
Administrative & Support,
Waste Management &
Remediation Services (56)
Education Services (61)
Health Care & Social
Assistance (62)
Arts, Entertainment, &
Recreation (71)
Accommodation & Food
Services (72)
Other Services (81)
Public Administration (92)
Tires
Service to Cellular and Personal Communications Users
Aviation Gasoline/Jet Fuel
Prepaid Wireless Cards
Section A: Taxes to be registered for this business location
1. Owner, partnership, or corporate charter name (legal name)
2. FEIN
SSN
7. Email
Sole Proprietor (one owner)
Partnership (two or more owners, other than LLP)
LLC/LLP filing as:
Corporation Partnership Single Member
Corporation
State and date incorporated
Foreign Corporation
State and date incorporated
Other (explain)
In Care Of
3. Mailing address (for all correspondence)
City State ZIP
Street
5. Business phone number
6. Daytime phone number
8. Fax number
4. Type of ownership
Street
9. Physical location of business (no PO Box)
City County State ZIP
Use Tax (Section B - No fee required)
Artist & Craftsman's License - Sells created or assembled products only at arts
shows, crafts shows and festivals within SC (Section B - $20 license tax is required)
Withholding Tax (Section C)
Nonresident Withholding Exemption (Section D)
Retail Sales/Accommodations License (Section B - $50 license tax is required)
dor.sc.gov