Form Pt-433 - Cable Television Company Property Tax Return Page 2

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I declare that this return including any accompanying schedules and statements 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 1976 Code of Laws and
amendments.
Taxpayer's Signature
Title
Date
Accountant's Signature
Title
Date
Contact Person
Tax Preparer / Contact Phone Number
Returns found incomplete or improper will be returned to the taxpayer for completion or amendment.
Mail completed returns to:
South Carolina Department of Revenue
Utilities
Columbia, SC 29214-0306
70502034

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