Property Tax Exemption Application For Organizations

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STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
PT-401-O
PROPERTY TAX EXEMPTION
(Rev. 11/18/15)
APPLICATION FOR ORGANIZATIONS
7094
Mail to: South Carolina Department of Revenue, Government Services Division, PO Box 125, Columbia, SC 29214-0303
SID Number:
Office Use Only
FEIN/SSN:
Property Owner Name (applicant name if different):
Mailing Address:
Street
State
Zip
Telephone Number:
Year(s) Exemption Requested:
Exemption Section Requested (see instructions):
COMPLETE ONLY THE APPLICABLE SECTION(S).
Section 1 – Real Property
Separate applications must be filed for each parcel of real property. Please see instructions for documentation needed.
1. Date Real Property Acquired:
2. County Where Property is Located:
3. Physical Address of Property:
Street
City
Zip
Tax District
4. Are you applying for exemption on (check all that apply):
Land and Building
Building
Land
Mobile Home
5. Fill out the applicable information:
• Tax Map Number:
• Mobile Home Tax Map Number:
• Number of Acres:
• Deed Book:
• Mobile Home Permit Number:
• Page Number:
Section 2 – Personal Property
To apply for vehicle exemption, please complete the chart below. Please see instructions for documentation needed.
COUNTY OF
VEHICLE IDENTIFICATION NUMBER
TYPE
MAKE
YEAR
REGISTERED OWNER
REGISTRATION
Are you applying for exemption on furniture, fixtures, and equipment?
Yes
No
If yes, please provide the location address for the assets:
70941018

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