STATE OF SOUTH CAROLINA }
COUNTY OF _________________}
AFFIDAVIT FOR EXEMPT TRANSFERS
PERSONALLY appeared before me the undersigned, who being duly sworn, deposes and says:
1. I have read the information on this affidavit and I understand such information.
2. The property being transferred is located at ______________________________________________________________
bearing ________________________________County Tax Map Number ______________________________,
was transferred by ______________________________________________________________________________
to _____________________________________________________________________________________________ on ___________________________________________________________________________________________________.
3. The deed is exempt from the deed recording fee because ( See Information section of affidavit):
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
If exempt under exemption # 14 as described in the Information section of this affidavit, did the agent and principal relationship exist at the time of the original sale and was the purpose of this relationship to purchase the realty? Check Yes _______ or No ________
4. As required by Code Section 12-24-70, I state that I am a responsible person who was connected with the transaction as:
________________________________________________________________________________________________
________________________________________________________________________________________________.
5. I understand that a person required to furnish this affidavit who wilfully furnishes a false or fraudulent affidavit is guilty of a misdemeanor and, upon conviction, must be fined not more than one thousand dollars or imprisoned not more than one year, or both.
_______________________________________________________
Responsible Person Connected with the transaction
________________________________________________________
Print or Type Name Here
Sworn this __________ Day of ________________ 20_______
____________________________________________________
Notary Public for _______________________________
My Commission Expires: ____________________
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