Local Hospitality Tax
Change of Information
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
Current Information
D
/B/A Business Name: _______________________________________________________________________________
State Retail License Number: _____________________________ Fed ID/SSN: _________________________________
Change in Owner/Mailing/Contact Information
D
ate of Change: ______________________
O
wner, Partnership, or Corporate Charter Name:_______________________________________________________________
M
ailing Address: __________________________________________________________________________________________
C
ity: ______________________________________ State: ________________ Zip: _________________________
C
ontact Name: _________________________________________ Contact Phone: ____________________________________
E
mail: ____________________________________________________________________________________________________
Change in Filing Status
Change Filing Status to:
___ Monthly - Gross sales of more than $2,500.00 per month
___ Quarterly- Gross sales of $1,250.00- $2,500.00 per month
___ Annually - Gross sales less than $1,250.00 per month
R
eason for Filing Status Change: _________________________________________________________________________
Business Closed/Sold
B
usiness Sold Date: ___________________________ Business Closed Date: ___________________________
N
ew Owner if Sold: __________________________________________________________________________________
N
ew Owner Address: _________________________________________________________________________________
I certify that all information on this form is true and correct to the best of my knowledge.
S
ignature: _____________________________________________________ Date: ___________________________________
Print Name & Title: ______________________________________________ Phone: _________________________________
Other Changes:
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signature
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