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STATE OF SOUTH CAROLINA SECRETARY OF STATE

STATEMENT OF TERMINATION OF EXISTING FRANCHISE PREVIOUSLY ISSUED BY MUNICIPALITY OR COUNTY
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).
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Pursuant to Section 58-12-325 of the 1976 South Carolina Code of Laws, as amended, the following cable or video service provider hereby exercises its option to terminate existing franchises issued by the municipalities and/or counties listed below and instead offer cable or video service in such municipalities or counties under a certificate of authority that the Secretary of State shall issue in accordance with the requirements of Section 58-12-310. Termination of existing franchises is effective immediately upon issuance of a Certificate of Franchise Authority by the Secretary of State granting authority to provide cable service in the described municipalities and counties. 1. 2. Name of the provider: Municipalities or counties where existing franchises are proposed to be terminated upon issuance of a State-issued Certificate of Franchise Authority in accordance with Section 58-12-301:

3. Date

Copies of this filing shall be submitted to any affected municipalities and/or counties.
Name of Cable Service Provider

Signature

Type or Print Name and Office

Address

Telephone Number
STATEMENT OF TERMINATION OF EXISTING FRANCHISE ISS.UED BY MUNICIPALITY/ COUNTY

Form Revised by South Carolina Secretary of State June 2008

FILING INSTRUCTIONS

1.

Two copies of this form, the original and either a duplicate original or conformed copy, must be filed with the Secretary of State and 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

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SPECIAL NOTES 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). A PROVIDER CHOOSING TO EXERCISE ITS OPTION UNDER SECTION 58-12-325 MUST APPLY FOR A STATE-ISSUED CERTIFICATE OF TRANSFER AUTHORITY ACCORDING TO THE REQUIREMENTS OF SECTION 58-12-310, WHICH INCLUDES THE SUBMISSION OF AN APPLICATION, AFFIDAVIT AND FILING FEE. UPON TERMINATION OF EXISTING FRANCHISES AS PROVIDED IN SECTION 58-12-325, THE CABLE OR VIDEO SERVICE PROVIDED BY THE PROVIDER EXERCISING ITS TERMINATION OPTION IS GOVERNED BY THE PROVISIONS OF THIS ARTICLE IN THOSE MUNICIPALITIES AND COUNTIES WHERE THE FRANCHISES HAVE BEEN TERMINATED. THE TERMINATION OPTION OF THIS SECTION APPLIES ONLY WITH RESPECT TO MUNICIPALITIES AND COUNTIES WHICH HAVE BEEN DESCRIBED PURSUANT TO SECTION 5812-310(B)(2) BY A HOLDER OF A STATE-ISSUED CERTIFICATE OF FRANCHISE AUTHORITY AND NOT WITH RESPECT TO FRANCHISES ISSUED BY OTHER MUNICIPALITES AND COUNTIES.