Fill and Sign the Sc Affidavit Form

STATE SOUTH CAROLINA ) COUNTY OF _________) AFFIDAVIT PERSONALLY appeared before me the undersigned, who being duly sworn, deposes and says: 1. Property located at _________________________________, bearing ___________________ County Tax Map Number _____________ was transferred by _____________________ to ________________________________ on _____________________. 2. The transaction was (Check one): ____ an arm's length real properly transaction and the sale price paid or to be paid in money or money's worth was $________________.* ____ not an arm's length real property transaction and the fair market value of the property is $______________________.* 3. The above transaction is exempt, or partially exempt, from the recording fee as set forth in S.C. Code Ann. Section 12-24-10 et.seq. because the deed is: _______________________ ___________________________________________________________________________. 4. As required by Code Section 12-24-70, I state that I am a responsible person who was connected with the transactions as: _____________________________________________. 5. I further 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. ________________________________ Purchaser, Legal Representative of the Purchaser, or Other Responsible Person Connected with the Transaction SWORN to before me this ___day of _______, 20___ ____________________________________________ Notary Public for ______________________________ My Commission Expires:________________________ * The fee is based on the real property's value. Value means the realty's fair market value. In arm's length real property transactions, this value is sales price to be paid in money or money's worth (e.g. stocks, personal property, other realty, forgiveness of debt, mortgages assumed or placed on the realty as a result of the transaction ). However, a deduction is allowed from this value for the amount of any lien or encumbrance existing on land, tenement, or realty before the transfer and remaining on it after the transfer.