SOUTH CAROLINA STATE TREASURER'S REVENUE REMITTANCE FORM

Curtis M. Loftis, Jr. State Treasurer Post Office Box 11778

Columbia, SC 29211 ? 1778 Phone (803) 734 - 2657 Fax (803) 734 ? 2161

Revised 7/5/2017

SOUTH CAROLINA STATE TREASURER'S REVENUE REMITTANCE FORM

County Name Collection for the Period From (Month/Year)

County Code

Date Submitted To (Month/Year)

PLEASE FILL IN THE AMOUNTS DUE TO THE STATE TREASURER IN THE TABLE BELOW

LINE A B C D E F G H I J K KA

KB KC KD KE KF KG

L M N O P Q R S T U V VA

W

X Y Z ZA ZB

AA BB BC CC

FINES, FEES AND FILING FEE/ASSESSMENT Public Defender Application Fee - $40 Per Application Body Piercing Marriage License Fee - Additional $20 Per License Bond Estreatment Circuit/Family Motion Fee - $25 Per Motion Family/Alimony/Child Support Fee Circuit/Family Fines, Fees and Other Revenue Circuit/Family Filing Fee - $100 Per Filing - Section 8-21-310 (11)(a) Circuit/Family Filing Fee - $50 Filing Fee Increase Magistrate Filing Assessment - $25 Magistrate Filing Assessment - $10 General Sessions Conditional Discharge Fee - $350 (Effective 06-022010) Magistrate Conditional Discharge Fee - $150 (Effective 06-02-2010) Violations of State Shellfish Laws Criminally Negligent Use of Firearms/Archery Tackle Fines/Fees Assessed by Aeronautics Commission Highway Work Zone ? Department of Public Safety Highway Work Zone ? State Highway Fund

DUI/DUS/BUI - ASSESSMENTS/SURCHARGES/PULLOUT Boating Under The Influence (BUI) General Session DUS DPS Pullout - $100 Magistrate DUS DPS Pullout - $100 General Session DUI Assessment- $12 Per Case Magistrate DUI Assessment- $12 Per Case General Session DUI Surcharge - $100 Per Case Magistrate DUI Surcharge- $100 Per Case General Session DUI DPS Pullout - $100.00 Magistrate DUI DPS Pullout - $100 General Session DUI DPS Auto Fee - $40 Per Auto General Session DUI SLED Pullout-3rd Offense $200 DUI/DUAC Breathalyzer Test Conviction Fee - SLED - $25

SURCHARGES General Session Drug Surcharge - $150 Per Case (Effective 06-022010) Magistrate Drug Surcharge- $150 Per Case (Effective 06-02-2010) General Session Law Enforcement Surcharge - $25 Per Case Magistrate Law Enforcement Surcharge- $25 Per Case General Session Criminal Justice Academy $5 Surcharge Magistrate Criminal Justice Academy $5 Surcharge

OTHER ASSESSMENTS- STATE SHARE General Session - 107.5% Magistrate - 107.5% Magistrate Traffic Education Program $140 Application Fee

TOTAL REVENUE DUE TO STATE TREASURER

% 100% 100% 100% 25% 100% 44% 44% 56% 100% 100% 100% 100%

100% 33.33% 100% 100%

65% 25%

100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100% 100%

100%

100% 100% 100% 100% 100%

64.65% 88.84% 90.83%

CODE 17-3-30 44-32-120 20-1-375 17-15-260 8-21-320 14-1-203 14-1-205 14-1-204(A) 14-1-204(B)(1) 22-3-340 22-3-340 44-53-450(C)

44-53-450(C) 44-1-152 50-1-85 55-1-7 56-5-1535 56-5-1535

DUE STATE TREASURER LINE

$ 0.00 A $ 0.00 B $ 0.00 C $ 0.00 D $ 0.00 E $ 0.00 F $ 0.00 G $ 0.00 H $ 0.00 I $ 0.00 J $ 0.00 K

KA $ 0.00 $ 0.00 KB $ 0.00 KC $ 0.00 KD $ 0.00 KE $ 0.00 KF $ 0.00 KG

50-21-114 56-1-460 56-1-460 56-5-2995 56-5-2995 14-1-211 14-1-211 56-5-2930 & 2945 56-5-2930 & 2945 56-5-2942 (J) 56-5-2930(G) 56-5-2950(E)

$ 0.00 L

$ 0.00 M $ 0.00 N $ 0.00 O $ 0.00 P $ 0.00 Q $ 0.00 R $ 0.00 S $ 0.00 T $ 0.00 U $ 0.00 V $ 0.00 VA

14-1-213(A)

14-1-213(A) 14-1-212(A) 14-1-212(A) 14-1-240 (A) 14-1-240 (A)

W $ 0.00

$ 0.00 X $ 0.00 Y $ 0.00 Z $ 0.00 ZA

$ 0.00 ZB

14-1-206 14-1-207 17-22-350(B)

$ 0.00 AA $ 0.00 BB $ 0.00 BC $ 0.00 CC

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Revised 7/5/2017

PLEASE FILL IN THE AMOUNTS RETAINED BY YOUR OFFICE IN THE TABLE BELOW. THIS SECTION IS FOR REORTING PURPOSES ONLY. DO NOT REMIT THESE AMOUNTS TO THE STATE TREASURER

LINE DD EE FF GG GH HH

AMOUNTS RETAINED BY COUNTY FOR VICTIM SERVICES Assessments - General Session Assessments - Magistrate Surcharges - General Session Surcharges - Magistrate Other Assessments - Magistrate

TOTAL RETAINED FOR VICTIM SERVICES

% 35.35% 11.16% 100% 100% 9.17%

CODE 14-1-206 14-1-207 14-1-211 14-1-211 17-22-350(B)

RETAINED BY COUNTY

$ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00 $ 0.00

LINE DD EE FF GG GH HH

Comments Contact Person I,

Telephone

Fax

County Treasurer, certify that the foregoing information is true and accurate.

*Note: This report is required by law and must be filed monthly, on or before the 15th, by the COUNTY TREASURER, even if there are no Collections. Please explain significant fluctuations in revenue in the "comments" section

Print Form

Please Mail or Fax this completed form to the Office of State Treasurer and retain a copy for your records Fax: (803) 734 ? 2161

Reset Form

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