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     1350                              STATE OF SOUTH CAROLINA 
                                       DEPARTMENT OF  REVENUE                                      SC SCH.TC-28
                                                                                                   (Rev. 7/29/19) 
                                       SC QUALITY FORUM CREDIT                                       3408
 dor.sc.gov
                                                                                                   20
Name                                                                                               SSN or FEIN

1.  Annual registration fee............................................................  1.  $ 
                                                                                                   
2.  Fees charged to participate in quality programs ......................................  2.  $ 
                                                                                                   
3.  Multiply line 2 by 50% ............................................................  3.  $ 
                                                                                                   
4.  Add lines 1 and 3 ............................................................... .  4.  $ 
     This is your available credit. No carryover of unused credit is allowed.

                                       INSTRUCTIONS 
                                        
Effective June 9, 2005, a nonrefundable credit is available for taxpayers who pay an annual fee to the South Carolina 
Quality Forum to participate in quality programs. The amount of the credit is equal to the annual registration fee plus 50% 
of any fees charged to participate in the organizational performance excellence assessment process. The credit cannot be 
carried forward.  
 
If you file by paper, attach to your Income Tax return. If you file electronically, keep a copy with your tax records. 

Social Security Privacy Act Disclosure 
It is mandatory that you provide your Social Security Number on this tax form if you are an individual taxpayer. 42 U.S.C. 405(c)(2)(C)(i) 
permits a state to use an individual's Social Security Number as means of identification in administration of any tax. SC Regulation 
117-201  mandates  that  any  person  required  to  make  a  return  to  the  SCDOR  must  provide  identifying  numbers,  as  prescribed,  for 
securing proper identification. Your Social Security Number is used for identification purposes. 
The Family Privacy Protection Act 
Under the Family Privacy Protection Act, the collection of personal information from citizens by the SCDOR is limited to the information 
necessary for the SCDOR to fulfill its statutory duties. In most instances, once this information is collected by the SCDOR, it is protected 
by law from public disclosure. In those situations where public disclosure is not prohibited, the Family Privacy Protection Act prevents 
such information from being used by third parties for commercial solicitation purposes. 
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