Form Abl-29 - Application For Business Local Option Permit
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5STATE OF SOUTH CAROLINA
1350
DEPARTMENT OF REVENUE
ABL-29
APPLICATION FOR BUSINESS
(Rev. 1/2/14)
4250
LOCAL OPTION PERMIT
Mail to: SCDOR, ABL Section, Columbia, SC 29214-0910
For Office Use Only
Telephone: (803) 898-5864
DOR Website:
File Number
Period Covered
Important Information: You may also apply for this permit in person at the SC Department of Revenue, 300A Outlet
Pointe Blvd., Columbia, SC or at our Taxpayer Service Centers located in: Charleston - 2 Southpark Circle, Suite 100;
Florence - 1452 West Evans St; Greenville - 545 N. Pleasantburg Dr, Suite 300; Rock Hill - Business and Technology
Center, 454 S Anderson Rd, Suite 202. Taxpayer Service Centers will not accept mailed applications.
PLEASE TYPE OR PRINT:
1. Name
Title
2. Type of business
(
) Hotel/Motel
(
) Restaurant
3. Business name
4. Business address
Street number/name, rural route
City
County
Zip Code
5. Federal ID Number
or
SSN (if sole proprietor)
-
-
6. Retail License number
Telephone number
Date(s) permit being applied for:
(Sunday by Sunday Only) Duration: One Sunday
Fee: $200.00
MONTH/YEAR
SUNDAY DATE
FEES DUE
$
$
$
Total fees due for all dates
$
(Annual Only) Duration: 52 weeks
Fee: $3,050.00 (subject to proration if biennial license expires before 52 weeks)
MONTH/YEAR
SUNDAY DATE
FEES DUE
Beginning
Ending
Total fees due for all dates
$
* For Guidelines and Instructions on completing this form please see attached "Guidelines and Instructions"
I certify by my signature below that a permanent liquor by the drink license has been issued at the address shown in
item four above. I understand if a violation of any alcoholic beverage laws or regulations occurs during the period
covered by the local option permit, that I and/or the organization may be charged and if found guilty, that all
permanent licenses/permits and unexpired local option permits may be suspended or revoked and all permit fees
forfeited.
(Officer or Principal Agent)
Applicant Signature
42501023
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