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2. District*
3. Map/Parcel ID No.*
4. Date of Application*
8. Applicant's Name, Address and Information
10. First Name*
11. Last Name*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Email
20. Phone
22. Birth Date*
23. Social Security Number*
27. If property is jointly owned, please complete the following:
29. Name of Co-Owner
30. Spouse?

    1. Yes

    1. No
34. If Co-Owner is spouse complete the following:
36. Phone Number of Applicant
37. Birth Date
38. Social Security Number
40. Location of Dwelling
41. Is this your permanent home?*

    1. Yes

    1. No
43. Is this a mobile home?

    1. Yes

    1. No
44. If property is held in Trust, Are you the beneficiary of Trust?

    1. Yes

    1. No
46. Do you live in the city?

    1. Yes

    1. No
48. Do you own other real estate?

    1. Yes

    1. No
49. If so, please list the address of that real estate.
51. How long have you lived in South Carolina?
52. Month
53. Year
55. Has property been or will it be leased or rented in the past year or during the year for which the Homestead is claimed?

    1. Yes

    1. No
57. You are applying for Homestead based on

    1. Age

    1. Disability

    1. Blind
59. Social Security Award Letters (upload)
60. South Carolina Driver's License (upload)
62. I (we) do hereby certify under penalty of perjury that the above information is true and correct and that I (we) have been a resident of South Carolina for one year as of 31 December last, and that the above identified property is my permanent home and legal residence, and I am entitle to the Homestead Exemption: and further that I (we) have not applied for such exemption in any other county or state.
64. Signature of Applicant or Agent*
65. Date*
Leave This Blank:


67. Submit

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