Form Pt-443 - Fee In Lieu Of Property Tax Initial Report Form - South Carolina Department Of Revenue Page 2
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1
220.
Initial Negotiated Millage
Fixed
Variable
Agreement page, para. §:
Rate
21.
Explanation, if necessary
22.
Calendar Year of Anticipated
Initial Investments
Agreement page, para. §:
23.
Length of Fee
Agreement page, para. §
(Number of Years)
24.
Payment Structure
Regular Payments
Equal Payments
5 Year Millage Adjustment
Agreement page, para. §:
Other (explain):
25.
Discount Rate
_______ %
Not Applicable
Agreement page, para. §:
Used for net present
value purposes
Disposal of Property?
Replacement of Property?
26.
Does Agreement Allow For
Agreement page, para. §
Yes
No
Yes
No
27.
Not Applicable
Min. No. of Jobs Required
Agreement page, para. §
(if applicable)
28.
Any additional information, allowances, or restrictions of which one must be aware to calculate or verify the fee under this
agreement:
Agreement page, para. §:
Agreement page, para. §:
Agreement page, para. §:
I declare that this return, to the best of my knowledge and belief, is true, correct, and complete.
Prepared by (please print):
Title:
Signature:
Date:
Telephone #:
E-mail Address:
Attachments:
Fully executed fee agreement or inducement agreement
Survey of real property under the fee (if available)
Inducement Resolution or other project identification.
Millage rate agreement (if applicable)
Any other attachments needed to respond to the questions.
The investor will need to file a supplemental form (form to be determined by the Department of Revenue) at the time that
the investor executes the lease agreement and/or places the property in service in this State.
70712013
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