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2. The high mileage application can be completed online then printed, scanned and emailed as an attachment to the following: hcauditoroffice@hamptoncountysc.org The form can also be faxed to (803) 914-2118. PLEASE NOTE: The form must be notarized before it is submitted to the Auditor's Office.
4. 
   Hampton County Auditor
   P.O. Box 575
   201 Jackson Avenue West
   Hampton, S.C. 29924
   Phone: (803) 914-2114
   Fax: (803) 914-2118
6. 
   State of South Carolina
   County of Hampton

   Vehicle Appeal Affidavit
8. 
   Tax Year:*
10. 
    Date:*
12. 
    Owner's Name:*
14. 
    Mailing Address:*
16. 
    City:*
17. 
    State:*
18. 
    Zip Code:*
20. 
    Tax District:*
22. 
    Phone No.:*
24. 
    Cell No.:
26. 
    
    VEHICLE DESCRIPTION
28. 
    Make:*
29. 
    Model:*
30. 
    Year:*
32. 
    VIN #:*
34. 
    Assessment in Guide: (Market Value)*
35. 
    Divided by 6.00% = *
37. 
    Auditor's Assessment:
39. 
    Reason for change:*
41. 
    CERTIFICATION
43. I hereby certify that the correct and actual odometer reading is:*
45. miles as of: (date)*
47. If the mileage should exceed 100,000 miles please indicate in writing exact mileage. I understand that under the terms of the Federal Motor Vehicle Information and Cost Saving Act and applicable state law, giving incorrect and/or false information may result in civil liability and civil and/or criminal penalties.
49. 
    Signature of Registered Owner or Agent: *
51. 
    Sworn to and subscribed before me this
53. day of
55. Notary Public for South Carolina
    Commission Expires:__________________________________________
57. 
    
59. 
    This affidavit must be filed with the Hampton County Auditor's Office on or before the due date or by the last day of the month in which the taxes are due. All high mileage applications are subject to visual inspection by the Hampton County Auditor.
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