MOTOR VEHICLE HIGH-MILEAGE DISCOUNT APPEAL FORM

Owner Name:

Residence Address:
City: State: South Carolina Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Dakota Tennessee Texas Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:

(If Different From Above)
Mailing Address:
City: State: South Carolina Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Dakota Tennessee Texas Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code:

DESCRIPTION OF VEHICLE

Year: 
Make: Model:
Vin #: Receipt #:

CURRENT ODOMETER READING

Odometer Reading: (Mileage Shown on Odometer)

I CERTIFY THAT THE FOLLOWING IS A TRUE & ACCURATE ODOMETER READING FOR THIS VEHICLE AS OF THIS DATE.

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I understand that the Auditor may require a sight verification of the above indicated vehicle's odometer reading. I further understand that under penalty of law, I am hereby certifying that the information given herein is correct and true to the best of my knowledge and belief.

Tax Payer or Authorized Agent: Date: 09/19/2006

E-Mail Address:

YOU MAY APPEAL THE APPRAISED VALUE OF YOUR VEHICLE BEAUSE OF HIGH MILEAGE IF THE VEHICLE AVERAGES OVER 15,000 MILES ANNUALLY BASED ON THE AGE OF THE VEHILCE (TOTAL MILES DIVIDED BY AGE OF VEHILCE). APPEALS CANNOT BE MADE UNTIL AFTER YOU RECEIVE YOUR TAX BILL, BUT MUST BE MADE BEFORE THE END OF THE MONTH THAT TAXES ARE DUE ON THE VEHICLE. IF YOU DO NOT RECEIVE AN AMENDED TAX BILL,
PLEASE CONTACT THE AUDITOR'S OFFICE.

**NOTE**
If you do not receive a reply via e-mail within 2 business days,
please contact the Auditor's Office at 843-563-0118 or 843-832-0118

YOU WILL BE NOTIFIED BY LETTER OR E-MAIL IF YOUR REQUEST IS DENIED