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-2120, or ( ) Exclusions at Sections 12-36-120, or ( ) Direct Pay Permit at Section 12-36-2510, or ( ) Exemptions at Section 58-25-80 (Transit Authorities), or ( ) Exemptions at Section 44-96-160 (Motor Carriers), (Code of Laws of South Carolina, 1976, As Amended). ( 1) Owner/Partnership/Corporate Name (If individual, print full name.) (If partnership, list all partners. If corporation, list all principal officers.) ( 2) SSN/FEIN ( 3) Name of Business or Firm (Please Print or Type) ( 4) Princ.

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