Tax Exemption Application (Individual) Page 2
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1
2Section 3 – Real Property Exemption Questions
Please answer all questions completely and sign the statement below.
Did you file an individual income tax return with the South Carolina Department of Revenue?
Yes
No
If so, what name is on the return?
Explain the use of the property, land and buildings:
Do any other individuals, associations or corporations occupy or use any part of the claimed exemption that is listed on
this application?
Yes
No
If so, explain circumstances:
Is any rent received for this property or any portion of this property?
Yes
No
If yes, from whom?
Do you lease or rent any property for which you are requesting an exemption?
Yes
No
If yes, from whom?
Section 4 – Declaration of Owner or Owner’s Agent
Subject to penalty for perjury, I declare that I have examined this application, including enclosures and attachments (if
any), and to the best of my knowledge and belief it is true, correct, and complete.
Signature
Date
70922018
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