Beaufort ROD Affidavit Of True Consideration-For Exemptions Claims

STATE OF SOUTH CAROLINA) BEAUFORT COUNTY ROD AF FI )DAVI T OF TRUE CONSIDERATION and COUNTY OF BEAUFORT ) CLAIM FOR EXEMPTION from RECORDING FEES PERSONALLY appeared before me the undersigned, who is duly sworn, deposed, and says that the following is a true and correct statement concerning the CONSIDERATION for the conveyance set forth below, and concerning any EXEMPTION claimed by the Filer under the laws of the State of South Carolina, the Town of Hilton Head, or as otherwise provided by law. GRANTOR NAME: GRANTEE NAME: GRANTEE MAILING ADDRESS: DATE OF CONVEYANCE: TRUE CONSIDERATION: $ TAX DISTRICT/MAP/PARCEL NO.: R___-___-___-____-____-__ (NOTE: This information must appear on any Deed, and any Plat, whether attached or filed separately.) STATE RECORDING FEE EXEMPTION 12-24-40, sub-par #______ (Per S.C. Code Sect. 12-24-40. Note Subparagraph No.) TOWN OF HILTON HEAD ISLAND TRANSFER FEE EXEMPTION Sub-par #______ (Per Town Ordinance 90-26, et seq. Note Subparagraph No.) OTHER EXEMPTION Please Cite Federal, State or other Code as applicable, and describe Exemption below: Signed: ___________________ P rinted Name: AsCa (pacity): SWORN TO BEFORE ME, this ___ day of __________, ____ SIGNED: _______________________