__________________________________ CIVIL CASE NUMBER STATE OF SOUTH CAROLINA ) ) COUNTY OF ________________________ ) ) _____________________________________ ) PLAINTIFF(S) ) ) VS. ) ) _____________________________________ ) DEFENDANT(S) ) IN THE MAGISTRATE'S COURT
AFFIDAVIT OF DEFAULT
Plaintiff, _______________________________, personally appearing before me, who being duly sworn, states that a summons and complaint in this action were served on the defendant, _____________________________________, on ______________________________ which required that defendant answer or appear within thirty (30) days from the date of service; that defendant failed to appear or answer as required and is now in default. Sworn to before me this day of ) ) ) ) ) ) )
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Magistrate or Notary Public for South Carolina My Commission expires
Plaintiff/Defendant (or his attorney)
SCCA/717 (Amended 05/2008)