Form Pt-443 - Fee In Lieu Of Property Tax Initial Report Form
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1
2STATE OF SOUTH CAROLINA
1350
1350
DEPARTMENT OF REVENUE
PT-443
FEE IN LIEU OF PROPERTY TAX
(Rev. 3/12/08)
INITIAL REPORT FORM
7071
INITIAL REPORT (to be filed within 30 days of execution of a fee agreement or an inducement agreement)
1)
1.
Legal Name of Investor
2)
(Include information about
3)
each party investing in the
Fee, if more than one
investor, and how they
qualify under the fee
statutes.)
2.
Federal Employer ID
1)
2)
3)
3.
Business
Sole Proprietor
Partnership
LLC Corporation - State of incorporation:__________
(Check all that apply if more
than one investor and
supply an explanation.)
4.
Principal Business Mailing
Street/POB
Address
City, State,
9 Digit Zip Code
5.
Physical Location of Project
Street Address:
City/State/Zip
County or Counties
6.
7.
Minimum Investment
agreed upon
8.
Is the project in a
Yes
No
If yes, please identify:
(See SC Code § 4-1-170)
multicounty park?
9.
Contact Person for
Investor(s)
10.
Telephone
Voice: (
)
Fax: (
)
Telephone: (
)
11.
Taxpayer's Legal Counsel
Fax: (
)
for FILOT
12.
Nature of Business
SIC Code:
13.
Accounting Closing
Date Used for
Income Tax Purposes
Manufacturer (include product manufactured)
Research & Development
Office Facility
14.
Type of Operation
Distribution Facility
Corporate Headquarters
Other (describe):
15.
Date of Fee Agreement
(Simplified Fee) or Date of
Inducement Agreement (Big
or Little Fee):
§4-12-30 ("Little Fee")
§4-29-67("Big Fee")
Chapter 44, Title 12 ("Simplified Fee")
16.
Type of Fee
Check if applicable:
Super/enhanced fee
$1 million+fee
17.
Property to be Included
Land
Buildings
Building Additions
Personal Property
Under the Fee:
( If available, attach survey of real property covered by the Fee)
18.
Initial Negotiated
Fixed
Variable
Agreement page, para. §:
Assessment Ratio
19.
If variable, state the
different rates and the years
for which they are
applicable.
70711015
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