PEGGY A. MOSELEY Charleston County Auditor P. O. Box 614, Charleston, SC 29402-0614 Phone: 843-958-4200 Fax: 843-958-4222 http://www.taxweb.charlestoncounty.org/auditor

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6% ASSESSMENT RATIO FORM FOR CAMPERS

DATE  11/20/2009

I       certify that the below listed travel              Print registered owner's name

trailer.

Make/Year

Vehicle Identification Number

Licence Plate Number

is equipped with permanent bathroom, bedroom and kitchen facilities and thus is qualified for the 6% assessment ratio with the County of Charleston and the state of South Carolina. I also certify that neither I, nor my spouse, is receiving a 6% assessment ratio on any other real or personal property in South Carolina.

Owner's Signature

Residence Address

Mailing address(if different)

City         State           Zip Code

Telephone Number