Form Wh-403 - Assignment Of Rebate To Motion Picture Production printable pdf download

STATE OF SOUTH CAROLINA

1350

DEPARTMENT OF REVENUE

WH-403

ASSIGNMENT OF REBATE TO MOTION PICTURE PRODUCTION

(Rev. 8/27/07)

COMPANY PURSUANT TO SC CODE SECTION 12-62-50(A)(3)

3403

Name of Assignor (Must be a personal service corporation, payroll services or loan out company described in South

Carolina Code section 12-62-50(A)(2)(a)(ii) or (iii)):

Assignor’s Address:

Assignor’s Federal Employer Identification No.:

Assignor’s SC Withholding No.:

Assignor's S. C. Corporate No.:

or Assignor's S. C. Partnership No.:

Assignor's Contact Name:

Assignor’s Telephone Number:

Assignor’s e-mail address:

Name of Motion Picture Production Company:

Motion Picture Production Company’s Address:

Motion Picture Production Company’s Federal Employer Identification No.:

Motion Picture Production Company’s SC Withholding No. (If applicable):

Motion Picture Production Company’s Telephone Number:

Motion Picture Production Company’s e-mail address:

Project Number and Name of Motion Picture (If the Motion Picture is not yet named, provide sufficient information to

identify it):

Assignor is (check one):

A personal services company described in South Carolina Code section 12-62-50(A)(2)(a)(ii)

A payroll services company described in South Carolina Code section 12-62-50(A)(2)(a)(iii)

A loan out company described in South Carolina Code section 12-62-50(A)(2)(a)(iii)

For consideration received, the Assignor hereby makes an irrevocable assignment to the Motion Picture Production Company named

above of any and all rebates that may be payable pursuant to SC Code section 12-62-50 for the Motion Picture identified above.

The Assignor further waives all rights to confidentiality that would otherwise be provided by SC Code section 12-54-240 and releases

all persons from liability for intentional or unintentional disclosure of such information. In addition, the Assignor specifically authorizes

the Department of Commerce, the Film Commission, the Department of Revenue, and their employees to share or provide any

information relevant to the request for rebate and the certificate of completion. This waiver and authorization is made voluntarily,

without promise, threat or duress from anyone.

Per Section 12-62-50-(B) (2), the assignor must be in tax compliance as of the date the wage rebate is requested by the

production company. In order to verify tax compliance, assignor must complete C-268 'Certificate of Tax Compliance

Request Form' and remit $60 check made payable to the SC Dept of Revenue. This information is required to be

submitted to the SC Film Commission at the time of filing the WH-403. The C-268 may be found at >

Taxes and Licenses > Miscellaneous > Forms.

Assignor:

Date:

Printed Name:

Title

Mail to: South Carolina Film Commission

1201 Main Street, Suite 1600

Columbia, S.C. 29201

34031013

Form Wh-403 - Assignment Of Rebate To Motion Picture Production

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