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Special Purpose District Notification Form - South Carolina

Special Purpose District Notification Form Form. This is a South Carolina form and can be used in Miscellaneous Secretary Of State .
 Fillable pdf Last Modified 7/13/2006
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Carolyn J. Hatcher, Director of Municipal Affairs Office of the South Carolina Secretary of State Post Office Box 11350 Columbia, SC 29211 (803) 734-1796 SPECIAL PURPOSE DISTRICT NOTIFICATION FORM 1. 2. 3. 4. 5. Legal Name of District: _______________________________________________________________ County (or Counties): ________________________________________________________________ Permanent Address: __________________________________________________________________ (If no permanent address, please list telephone number, name and address of agent) Telephone number:___________________________________________________________________ Services Provided: ___________________________________________________________________ 6. General Description of Geographical Boundary:____________________________________________ __________________________________________________________________________________ (Attach Legal Description) 7. 8. Citation of Statutory Authority: _________________________________________________________ (Attach copy) Date of Origin: ______________________________________________________________________ 9. Tax Rate or Fee Charged: _____________________________________________________________ 10. Names of Members of Governing Body and Terms in Office (Attach sheet if necessary): ____________________________________ ____________________________________ ____________________________________ ______________________________________ ______________________________________ ______________________________________ 11. Method of Selecting Members of Governing Body: _________________________________________ 12. Financial Information for prior fiscal year (Do not send financial statements): 1. Year: __________ 2. Total revenue by source including investment earnings:______________________________ 3. Total Expenditures: _________________________________________________________ 4. Total Indebtedness (indicate bonded or otherwise): __________________________________ 5. Total Investments (individual amounts, location, rate): _______________________________ 13. Person Completing Form: _______________________________________ Date: _______________ Title: _______________________________ Daytime Telephone: ____________________________ Mailing Address: ___________________________________________________________________ Email Address: _____________________________________________________________________ 14. County Auditor's Signature:__________________________________ Date:_____________________ ATTACH ADDITIONAL PAGES IF NECESSARY. American LegalNet, Inc. www.USCourtForms.com
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