Form Pt-442 - Application For Motor 7070 Carrier Property Tax - 2007

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STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
PT-442
APPLICATION FOR MOTOR
(Rev. 11/29/07)
CARRIER PROPERTY TAX
7070
For Office Use
Telephone:
(803) 898-5222
SID No.
Mail to: South Carolina Department of Revenue
License and Registration
File No.
Columbia, South Carolina 29214-0140
FEI
SSN
1.
Name of Owner/Corporation
2.
Business Name
Please Print or Type
3.
Physical Location (no post office box)
Street No. - RFD
City
County
State
Zip Code
4.
Mailing Address
Street No. - RFD, Post Office Box
City
County
State
Zip Code
5.
Open Date at this Location
6.
Telephone
7.
No. of Locations
8. Type Of Ownership
Sole Proprietor
LLC/LLP
Partnership
Unincorporated Association; Enter Legal Name
Corporation; Enter Charter Name
Other; Explain
9. Names of Business Owner, Partners or Officers:
If Partner,
Name/Title
Social Security No.
Address
Percent Owned
1.
2.
3.
4.
10.
We have physical locations (real property owned or leased) in the following counties:
I declare that the application, including the accompanying schedules, if any, has been examined by me and to the best of
my knowledge and belief the information contained therein is true and correct.
SIGNATURE OWNER, PARTNERS OR CORPORATE OFFICER
TITLE
DATE
The statutes covering the Motor Carrier Property Tax are Code Sections 12-37-2810 through 2880.
Social Security Privacy Act
It is mandatory that you provide your social security number on this tax form. 42 U.S.C 405(c)(2)(C)(i) permits a state to use an individual's social security
number as means of identification in administration of any tax. SC Regulation 117-1 mandates that any person required to make a return to the SC
Department of Revenue shall provide identifying numbers, as prescribed, for securing proper identification. Your social security number is used for
identification purposes.
70701024

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