COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. STATE OF SOUTH CAROLINA) COUNTY OF ) -against- Plaintiff(s) AFFIDAVIT : : JUDICIAL SUBPOENA Page 1 of 2 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. 2. The property beingtransferred is located at County Tax Map Number bearing Defendant(s) by : 3 : ...................................................... on , was transferred to 3. Check one of the following: The deed is THE PEOPLE OF THE STATE OF NEW YORK (a) subject to the deed recording fee as a transfer for consideration paid or to be TO (b) (c) GREETINGS: paid in money or money=s worth. subject to the deed recording fee as a transfer between a corporation, a partnership, or other entity and a stockholder, partner, or owner of the entity, or is a transfer to a trust or as a distribution to a trust beneficiary. exempt from the deed recording fee because (See Information section of affidavit): WE COMMAND YOU, that all business and4excuses beingitem 8 of this affidavit.) of you attend before (If exempt, please skip items - 7, and go to laid aside, you and each , the Honorable Court If exempt under exemption #14 as described in theat the Information section of this affidavit, did the agent and County of relationship exist at thelocated at original sale and was the purpose of this relationship to principal time of the inpurchase the realty? Check Yes of or No , 20 room , on the day , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 4. Check one of the following if either item 3(a) or item 3(b) above has been checked (See Information section of this affidavit.): The fee is computed on the consideration paid or to be of court and will (a) Your failure to comply with this subpoena is punishable as a contempt paid in money or make you liable to the party on whose behalfmoney=s worthwas issued for ofmaximum penalty of $50 and all damages sustained as a this subpoena in the amount a The fee is computed on the fair market value of the realty which is (b) result of your failure to comply. Witness, Honorable property tax purposes which is Court in County, day of , 20 (c) The fee is computed on the fair market value of the realty as established for , one of the Justices of the to the following: A lien or encumbrance existed on the land, tenement, or No 5. Check Yes or realty before the transfer and remained on the land, tenement, or realty after the transfer. If A Yes,@ the amount of the outstanding balance of this lien or encumbrance is: (Attorney must sign above and type name below) 6. The deed recording fee is computed as follows: (a) Place the amount listed in item 4 above here: Attorney(s) for (b) Place the amount listed in item 5 above here: (If no amount is listed, place zero here.) (c) Subtract Line 6(b) from Line 6(a) and place result here: 7. The deed recording fee due is based on the amount listed on Line 6(c) above and the deed recording, fee due is: the transaction as: Office and P.O. Address 8. As required by Code Section, 12-24-70, I state that I am a responsible person who was connected with Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) : Index No. Calendar No. Page 2 of 2 9. I understand that a person required to furnish this affidavit who wilfully furnishes a false or fraudulent -against: 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. : JUDICIAL SUBPOENA Responsible Person Connected with the Transaction : Defendant(s) : . day . . . . . . . . . . . . . . 20 . . . . . . . . . . . . . . Print .or .Type. Name Here . . . of .. .... . ... ......... SWORN to before me this Notary Public for My Commission Expires: THE PEOPLE OF THE STATE OF NEW YORK INFORMATION TO as provided in this paragraph, the term ''value'' means Athe consideration paid or to be paid in money or money=s worth for Except the realty.@ Consideration paid or to be paid in money=s worth includes, but is not limited to, other realty, personal property, stocks, bonds, partnership interest and other intangible property, the forgiveness or cancellation of a debt, the assumption of a debt, and the surrendering of any right. The fair market value of the consideration must be used in calculating the consideration paid in money=s worth. Taxpayers may elect to use the fair market value of the realty being transferred in determining fair market value of the consideration. In GREETINGS:the case of realty transferred between a corporation, a partnership, or other entity and a stockholder, partner, or owner of the entity, and in the case of realty transferred to a trust or as a distribution to a trust beneficiary, Avalue@ means the realty=s fair market value. A deduction from value is allowed for the amount of any lien or encumbrance existing on the land, WE COMMAND YOU, that all on the land, tenement, or realty after the transfer. Taxpayers may of you attend tenement, or realty before the transfer and remainingbusiness and excuses being laid aside, you and each elect to use the Honorable provisions the fair market value for property tax purposes in determining fair market value under the Court of the law. at the before , County of from the fee are deeds: located at . Exempted in room , on the day of , 20 , at o'clock in the noon, and at any recessed (1) transferring realty testify the give the realty, as a witness in this action on the part of the or adjourned date, to in which andvalue ofevidence as defined in Code Section 12-24-30, is equal to or less than one hundred dollars; (2) transferring realty to the federal government or to a state, its agencies and departments, and its political subdivisions, including school districts; (3) that are otherwise exempted under the laws and Constitution of this State or of the United States; (4) transferring realty in which no gain or loss is recognized by reason of Section 1041 of the Internal Revenue Code as defined in Your Section 12-6-40(A); failure to comply with this subpoena is punis