Business License Change/closure Form - Town Of Hilton Head Island
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1TOWN OF HILTON HEAD ISLAND
REVENUE AND COLLECTIONS DIVISION
ONE TOWN CENTER COURT
HILTON HEAD ISLAND, SC
29928
PHONE (843) 341-4677
FAX (843) 341-4637
BUSINESS LICENSE CHANGE / CLOSURE FORM
BUSINESS NAME_________________________________________
ACCOUNT NUMBER: _________________
BUSINESS LICENSES ARE NON-TRANSFERABLE: NEW OWNERS MUST ESTABLISH A NEW ACCOUNT
TYPE OF CHANGE
CHANGE INFORMATION
EFFECTIVE DATE
BUSINESS NAME
PHYSICAL LOCATION (NO P.O. BOX)
SUITE (IF APPLICABLE)
CITY/STATE/ZIP
MAILING ADDRESS- STREET OR P.O. BOX
CITY/STATE/ZIP
BUSINESS PHONE/FAX
EMAIL
FEIN # OR LAST 4 DIGITS OF SSN #.
BUILDING OWNER NAME
OWNER ADDRESS
OWNER PHONE #
LANDLORD NAME
LANDLORD ADDRESS
CITY/STATE/ZIP
LAND LORD PHONE #
YES
NO
OTHER/EXPLAIN:
IS THIS A HOME OCCUPATION?
SPACE VACANT FOR 12 MONTHS OR MORE?
WILL THERE BE CONSTRUCTION?
NEW SIGN?
CHANGING TYPE OF BUSINESS?
CHANGE OF USE OCCUPANCY OR USE FOR THIS SPACE?
REMOVED PROPERTY FROM RENTAL PROGRAM: If
your are removing more than one property, please attach
Property
list.
address:
IS THIS BUSINESS/PROPERTY BEING SOLD?
IS THIS BUSINESS BEING CLOSED?
NEW OWNER NAME
NEW OWNER ADDRESS
NEW OWNER PHONE
CHANGE TAX PAYMENT FREQUENCY TO MONTHLY
Check Box
If information provided is found to be false, you may be subject to penalties and municipal fines.
NAME OF AUTHORIZED SIGNER:
SIGNATURE:
DATE :
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Parent category: Business