Forms • Mount Pleasant, SC • CivicEngage

Applicant Information Form 2022-2023 **for new businesses only**

Leave This Blank:

Business Name:*

Physical Address (Cannot be a Post Office box): *

City*

State*

Zip Code*

Business Phone Number *

Mailing Address *

Mail City *

Mail State*

Mail Zip Code *

Web Site

Business Activity Description *

Will you sell prepared meals, food, or beverages (If yes, business is subject to hospitality tax- Mount Pleasant Code of Ordinances, Chapter 115)*

Yes

Will you rent accommodations? (ex. hotel)? If yes, business is subject to state and local accommodations taxes (Mount Pleasant Code of Ordinances, Chapter 114)*

YES

Is business located within the Town of Mount Pleasant? *

YES

If yes, is it a storefront/office or homebased?*

Retail License Number

EIN or Social Security Number*

EIN or SSN*

Contractor License Number

Driver's License Number (State)

Driver's License Number

Owner Name *

Owner Title*

Owner Address *

Owner Address (City)*

Owner Address (State)*

Owner Address (Zip Code)*

Owner Phone Number/Cell Number *

Owner Email Address *

Contact Person (different than listed above)

Contact Person's email address

Owner Date of Birth

What date will (or did) the business begin operating in Mount Pleasant? *

Landlord Name

Landlord Address

Landlord Address (City)

Landlord Address (State)

Landlord Address (Zip Code)

Estimated Gross Receipts from the date that the business started (or will start operating) in Mount Pleasant through April 30, 2023*

Signature *

Date*

* indicates required fields.

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