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     1350                                    STATE OF SOUTH CAROLINA
                                             DEPARTMENT OF REVENUE                                PT-139 
                                     WATER AND SEWER COMPANIES                                    (Rev. 5/1/19) 
dor.sc.gov                                                                                        7005
                                     PROPERTY TAX RETURN
                                                                    For Year Ending
Company Name
                                                                    FEIN
                                                                    Phone
Street Address
                                                                    Fax Number

City                           State Zip Code

1. County and taxing district:                          . If property is located in more than one taxing district,
attach a breakdown listing the gross investment of the water and sewer property in each taxing district on form PT-427.

2. Check one: Individual       Corporation   Partnership

3. The following values should reconcile to the Annual Report filed with the South Carolina Public Service Commission.

                                                        Original    Accumulated                   Depreciated
                                                        Cost        Depreciation                  Value
Land
Buildings
Reservoirs
Tanks and Standpipes
Wells
Filter Plant
Pump Equipment
Mains
Donated System/Contribution In Aid Of Construction
Hydrants
Meters
Miscellaneous Equipment
Shop Equipment
General Equipment
General Office Equipment
All other Equipment
Licensed Vehicles
     Total
4. Provide a list of licensed vehicles, investment and depreciation schedule, for all vehicles registered in South Carolina.
5. Number of customers served
6. A copy of the Annual Report filed with the South Carolina Public Service Commission must accompany this report.

I declare that this return including any accompanying schedules and statements has been examined by me and to the best 
of my knowledge and belief is a true and complete return made in good faith pursuant to the 1976 Code of Laws and 
amendments.

Taxpayer's Signature                         Title                  Date

Accountant's Signature                       Title                  Date

Contact person                               Contact email address  Contact phone number
Returns found incomplete or improper will be returned to the taxpayer for completion or amendment.

Mail completed returns to: SCDOR, Utilities, 2070 Northbrook Blvd, Ste B7, North Charleston, SC 29406

     70051032