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ADP Tax Services, Inc., a wholly-owned subsidiary of (ADP)

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ADP Tax Services, Inc., a wholly-owned subsidiary of ADP, LLC
Attn: Exception Dept.
400 Covina Boulevard
San Dimas, CA 91773
SOUTH CAROLINA ENTERPRISE ZONE ACT CREDIT
Company Name _______________________________________________________
S. Carolina Withholding Number _________________________________________
Quarter Credit Applied 1 2 3 4 Year _______________________
(Please circle one)
ADP:
As an authorized representative of this company, I hereby request ADP to apply an Enterprise Zone Act
Credit to the South Carolina Employer Identification Number listed above. My company has an authorized
Enterprise Zone Act agreement with South Carolina Department of Commerce. Please apply the following
credit(s):
2. a) Maximum EZA/RDA Credit $_________________________ (100%)
b) Allowable EZA/RDA Credit $_________________________ (percentage)
c) State Rural Infrastructure $__________________________ (percentage)
d) Allowable Retraining Credit $ _________________________(if applicable)
I understand and assume responsibility for any resulting penalties, interest and/or adverse effect to my
South Carolina Enterprise Zone Act agreement. I also agree to respond to any agency correspondence
regarding all credits applied.
Sincerely,
____________________________________________________________________________________
Signature Date
____________________________________________________________________________________
Type & Print Name and Title
________________________
Branch/Company Code
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Completed 8 February 2021

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