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STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
PT-401-I
PROPERTY TAX EXEMPTION
(Rev. 4/27/16)
APPLICATION FOR INDIVIDUALS
7092
Mail to: South Carolina Department of Revenue, Government Services Division, PO Box 125, Columbia, SC 29214-0303
Year(s) Exemption Requested:
SSN:
Owner and Mailing Address
SID #:
Office Use Only
Telephone Number:
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
State
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
70921010