STATE OF SOUTH CAROLINA ) ) AFFIDAVIT OF TRUE CONSIDERATION and COUNTY OF BEAUFORT ) Exemption for Existing Encumbrance PERSONALLY appeared before me the undersigned, who being duly sworn, deposes and says: 1. I have read the information on this affidavit and I understand such information to be true and complete to the besowt olfe mdgye kn and belief. In accordance with Sect. 12-24-70, I am the responsible person connected with this transaction. 2. Description/location of property being transferred is:_______________________________________ ________________________________________Tax District/Map/Parcel # R___-___-___-____-____-__. This property was transferred by____________________________________________________________ to____________________________________________________________________, _______________ 3. The Deed is: a) ____ subject to the Deed recording fee as a transfer for consideration paid or to be paid in money or moneys worth; or, is subject to the Deed recording fee as a transfer between a corporation, a partnership, or other entity, and a stockhoerld, er, partn or owner of the entity, or is a transfer to a trust or as a distribution to a trust beneficiary. b) ____ exempt from the Deed Recording Fee under 12-24-40 subsection ______, SC Code. 4. Check one of the following if 3(a), above has been checked: a) ____ The Recording Fee is computed on the consideration paid or to be paid in money or moneys worth in the amt of $________________. b) ____ Fee is computed on the fair market value of the realty, which is $_____________________. c) ____ The Fee is computed on the fair market value of the realty as established for property tax purposes, which is: $ _________________________. 5. EXEMPTION FOR EXISTING ENCUMBRANCE: A lien or encumbrance existed on the land, tenement, or realty before the transfer and remained on the land, tenement or realty after the transfer. The amount of the outstanding balance of tr his Lien oencumbrance is: $_______________________. The Deed Recording Fee is computed as follows: a) Amount listed in item 4, above: $ ________________________ b) Amount listed in this item 5, above: ________________________ c) Subtract Line 5.(a) from line 5.(b): $ ________________________ The Deed Recording Fees due, which are calculated against the net amount listed on Line 4. (___), above is: $ ________________ or 5.(c), above is: $ ________________ Signature of Responsible Person Connected with Transaction: ___________________________________ Printed/Typed Name and Capacity/Title of Responsible Person: SWORN to before me this _____ day of _______, 20__. Signed: __________________________________________ NOTARY PUBLIC for _______________________________ My Commission Expires: __________________________