PT-100 DEPARTMENT OF REVENUE (Rev. 4/19 ... - South …

1 70021035 Owner NameEmail AddressTelephone of Locations in SCReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End DateMailing Address StreetFinal (Date Business Closed _____)Accounting Closing Period (MM/DD/YYYY)NAICS CodeType of OwnershipInitialIf yes, attach a list of lessors and addressesAnnualFEIN/SSNSole ProprietorReturn Due to Changesin Accounting Closing PeriodAmendedLLCP artnership (List Partners)CorporationLLPO ther _____Do you lease equipment from another company? No YesDo you lease equipment to any other business? No $1.

2 $Location Start $ PT-100 (Rev. 4/19/16) 7002 STATE OF South carolina DEPARTMENT OF REVENUEBUSINESS PERSONAL PROPERTY RETURN1350 Check if this is a new addressTax YearStateZip CodeSCFile CodeOffice Use OnlyMail to SC DEPARTMENT of REVENUE , Property Division, Columbia, SC 29214-0301 or contact by phone (803) 898-5222. I declare that this return has been examined by me, and to the best of my knowledge and belief, is a true and complete return, made in good faith, pursuant to the provisions of the Code of Laws, 1976 and Signature This return cannot be processed without taxpayer Signature Accountant PhoneTitleExistingAccount StatusReturn Type1.

3 Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1. $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1. $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated Value70022033 Accounting Closing Period Date (MM/DD/YY)FEIN/SSNTax YearFile ____ of ____Owner NameReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1.

4 $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1. $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1. $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1.

5 $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated ValueReference ID (leave blank if new location)Sales Tax NameLocation CountyLocation Street AddressLocation CityLocation End $1. $Location Start $StateZip CodeSC1. Total Acquisition Cost2. Less: SC Income Tax Depreciation3. Net Depreciated Valu