STATE OF SOUTH CAROLINA SECRETARY OF STATE
NOTICE OF TERMINATION OF STATE-ISSUED CERTIFICATE OF FRANCHISE AUTHORITY OR AMENDED STATE-ISSUED CERTIFICATE OF FRANCHISE AUTHORITY
Pursuant to state law, a person or entity seeking to provide cable or video service must have a certificate of franchise authority, either an existing certificate issued by a local government under prior law, or upon expiration of that certificate issued by a local government, a state-issued certificate of franchise authority issued by the Secretary of State under S.C. Code of Laws §58-12-310(B).
TYPE OR PRINT CLEARLY WITH BLACK INK
Pursuant to Section 58-12-310(H) of the 1976 South Carolina Code of Laws, as amended, the undersigned hereby provides notice of the termination of its State-issued Certificate of Franchise Authority or Amended State-issued Certificate of Franchise Authority:.
Cable or video service provider holding certificate: _____________________________________________________________________________
Date of issue of certificate:
Copies of this notice shall be submitted to the affected municipalities and/or counties.
Name of Cable or Video Service Provider
Type or Print Name and Office
NOTICE OF TERMINATION
Form Revised by South Carolina Secretary of State June 2008
Two copies of this form, the original and either a duplicate original or conformed copy, must be filed with the Secretary of State. Notice must also be provided to the affected municipalities or counties. If the space in this form is insufficient, please attach additional sheets containing a reference to the appropriate paragraph in this form. Return to: South Carolina Secretary of State Attn: Wendy B. Holcombe Post Office Box 11350 Columbia, SC 29211
SPECIAL NOTE PURSUANT TO STATE LAW, A PERSON OR ENTITY SEEKING TO PROVIDE CABLE OR VIDEO SERVICE MUST HAVE A CERTIFICATE OF FRANCHISE AUTHORITY, EITHER AN EXISTING CERTIFICATE ISSUED BY A LOCAL GOVERNMENT UNDER PRIOR LAW, OR UPON EXPIRATION OF THAT CERTIFICATE ISSUED BY A LOCAL GOVERNMENT, A STATE-ISSUED CERTIFICATE OF FRANCHISE AUTHORITY ISSUED BY THE SECRETARY OF STATE UNDER S.C. CODE OF LAWS §58-12-310(B).