Form L-2093 "Dry Cleaning Facility Registration Application" - South Carolina

What Is Form L-2093?

This is a legal form that was released by the South Carolina Department of Revenue - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 7, 2018;
  • The latest edition provided by the South Carolina Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form L-2093 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Revenue.

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Download Form L-2093 "Dry Cleaning Facility Registration Application" - South Carolina

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1350
STATE OF SOUTH CAROLINA
L-2093
DEPARTMENT OF REVENUE
DRY CLEANING FACILITY
(Rev. 6/7/18)
4181
dor.sc.gov
REGISTRATION APPLICATION
PLEASE PRINT OR TYPE ALL INFORMATION
OWNER, PARTNERSHIP, OR CORPORATION CHARTER NAME
FOR OFFICE USE ONLY
PHYSICAL LOCATION OF BUSINESS REQUIRED (NO P.O. BOX)
SID NUMBER
STREET
FILE NUMBER
CITY
COUNTY (REQUIRED)
STATE
ZIP
TRADE NAME (DOING BUSINESS AS)
MAILING ADDRESS (FOR ALL CORRESPONDENCE)
BUSINESS PHONE NUMBER
DAYTIME PHONE NUMBER
IN CARE OF
FEIN
STREET
SC RETAIL LICENSE
CITY
COUNTY
STATE
ZIP
OPEN DATE
EMAIL
TYPE OF OWNERSHIP
SOLE PROPRIETOR
LLC/LLP
(ONE OWNER)
UNINCORPORATED ASSOCIATION; ENTER LEGAL NAME
PARTNERSHIP
SC CORPORATION DATE INC.
(TWO OR MORE OWNERS)
FOREIGN CORPORATION (attach copy of articles or certificate of authority).
OTHER (EXPLAIN
NAME(S) OF BUSINESS OWNER, PARTNERS, OR OFFICERS:
IF PARTNER
SSN
NAME/TITLE
HOME ADDRESS
PERCENT OWNED
Solvent Used
Name of Solvent Supplier
REGISTRATION FEE
The number of employees employed by the owner for the twelve month period preceding payment of the fee is: (check one)
(1) Up to four employees - $ 750.00
(2) Five to ten employees - $1500.00
(3) Eleven or more employees - $2250.00
STATE OF
COUNTY OF
Personally appeared before me
(Taxpayer's Name)
who being duly sworn deposes and says:
That he is the
of the Company whose title and address appears
(Title)
hereon and that the information contained in this application for a dry cleaning facility registration, is true and correct.
Sworn to and subscribed before me this
day of,
year of
.
(L.S.)
(Taxpayer Signature)
Notary Public
Mail this application and registration fee to: SC Department of Revenue, P.O. Box 125, Columbia, SC 29214-0850.
If you have questions about this form contact this office at RegistrationForTaxes@dor.sc.gov or call 1-844-898-8542,
Registration option.
Social Security Privacy Act Disclosure
It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to use an
individual's social security number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any
person required to make a return to the SC Department of Revenue shall provide identifying numbers, as prescribed, for securing
proper identification. Your social security number is used for identification purposes.
41811019
1350
STATE OF SOUTH CAROLINA
L-2093
DEPARTMENT OF REVENUE
DRY CLEANING FACILITY
(Rev. 6/7/18)
4181
dor.sc.gov
REGISTRATION APPLICATION
PLEASE PRINT OR TYPE ALL INFORMATION
OWNER, PARTNERSHIP, OR CORPORATION CHARTER NAME
FOR OFFICE USE ONLY
PHYSICAL LOCATION OF BUSINESS REQUIRED (NO P.O. BOX)
SID NUMBER
STREET
FILE NUMBER
CITY
COUNTY (REQUIRED)
STATE
ZIP
TRADE NAME (DOING BUSINESS AS)
MAILING ADDRESS (FOR ALL CORRESPONDENCE)
BUSINESS PHONE NUMBER
DAYTIME PHONE NUMBER
IN CARE OF
FEIN
STREET
SC RETAIL LICENSE
CITY
COUNTY
STATE
ZIP
OPEN DATE
EMAIL
TYPE OF OWNERSHIP
SOLE PROPRIETOR
LLC/LLP
(ONE OWNER)
UNINCORPORATED ASSOCIATION; ENTER LEGAL NAME
PARTNERSHIP
SC CORPORATION DATE INC.
(TWO OR MORE OWNERS)
FOREIGN CORPORATION (attach copy of articles or certificate of authority).
OTHER (EXPLAIN
NAME(S) OF BUSINESS OWNER, PARTNERS, OR OFFICERS:
IF PARTNER
SSN
NAME/TITLE
HOME ADDRESS
PERCENT OWNED
Solvent Used
Name of Solvent Supplier
REGISTRATION FEE
The number of employees employed by the owner for the twelve month period preceding payment of the fee is: (check one)
(1) Up to four employees - $ 750.00
(2) Five to ten employees - $1500.00
(3) Eleven or more employees - $2250.00
STATE OF
COUNTY OF
Personally appeared before me
(Taxpayer's Name)
who being duly sworn deposes and says:
That he is the
of the Company whose title and address appears
(Title)
hereon and that the information contained in this application for a dry cleaning facility registration, is true and correct.
Sworn to and subscribed before me this
day of,
year of
.
(L.S.)
(Taxpayer Signature)
Notary Public
Mail this application and registration fee to: SC Department of Revenue, P.O. Box 125, Columbia, SC 29214-0850.
If you have questions about this form contact this office at RegistrationForTaxes@dor.sc.gov or call 1-844-898-8542,
Registration option.
Social Security Privacy Act Disclosure
It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to use an
individual's social security number as means of identification in administration of any tax. SC Regulation 117-201 mandates that any
person required to make a return to the SC Department of Revenue shall provide identifying numbers, as prescribed, for securing
proper identification. Your social security number is used for identification purposes.
41811019