Legal Residence Application Form - Sumter County Assessor

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SUMTER COUNTY ASSESSOR
Tax Year: ______________
13 E CANAL ST.
SUMTER SC 29150
(803) 436-2115
1. TMS NO.: _________________________________________
2. ADDRESS OF OWNERS DOMICILE (residence):
NAME & ADDRESS
____________________________________________________
3. ANY PORTION OF THIS PROPERTY RENTED? YES____ NO____
4. PREVIOUS ADDRESS: ___________________________________
MAILING ADDRESS
City__________ State________ Zip_________________
Insure that your mailing address is correct at the Auditor’s Office
5. WAS PREVIOUS RESIDENCE RENTED OR
OWNED? ____________
6. DO YOU OWN ANOTHER HOME? _____
________________________ CITY_____________ST____ZIP________
_________________________________________________________________________________________________________________________________________
12-43-220 (c) (1) A residence does not qualify as a legal residence unless the property is determined to be the domicile of (occupied
by) the owner - applicant. A tax payer may receive the 4 % assessment ratio on only one residence for a tax year.
(c)(i)
Owner must have been domicile (living) at that address for some period during the applicable tax year and remain
in the status at the time of filing the application required.
(2)(vii)
If owner moves out and fails to notify the assessor within six months, a penalty is imposed equal to one hundred
percent of taxes paid, plus interest
S. C. individual income tax
(a)(iv)(b) Copy of vehicle registration and/or
.
(a)(iv)(c) Copy of S.C. driver’s license or SCDMV identification card showing correct address and a utility bill showing
services at location address.
DL #____________________
Military-copy of utility bill showing services at location address, Military ID and current Orders (showing SC as the
permanent duty station)
Verified Military information: YES____ No____
Property must be owned by occupant and documents must be recorded in the Register of Deeds during the year
of the requested special assessment and prior to application.
Contract of Sale is recorded: YES____ NO ___
Book & Page Number ____________
‘Under penalty of perjury I certify that:
(A) the residence which is the subject of this application is my legal residence and where I am Domicile at the time of
this application and that neither I, nor any member of my household, claim to be legal resident of a jurisdiction other
than South Carolina for any purpose; and
(B) that neither I, nor a member of my household, claim the special assessment ratio allowed by this section on another
residence.’
SPOUSE NAME: _________________________________
Signature:
________________________________
_____
__________
SSN# XXX-XX-
Spouse XXX-XX-
**A release from the County Assessor for the
previous address may be required for qualification.
_______________
_______________
Phone #
Date:
,
(FOR OFFICE USE ONLY) APPROVED
YES ____ NO _____
__________
APPROVED BY
Comments:
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________
___________
__________
Input completed by:
Date:
________________________________________________________________
Relationship to owner(s): _____________________________________
0%-49%: if not immediate family, based on ownership %.
25%- 49%: if owned with immediate family, 100% owner occupied.
50% and up: if not immediate family, based on ownership %.
Revised 01-23-2014

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