STATE OF SOUTH CAROLINA COUNTY OF: IN THE MATTER OF:
) ) ) ) ) )
IN THE PROBATE COURT Appointment Of Agent For Service Of Process CASE NUMBER:
The undersigned hereby appoints the below-named as his/her agent upon whom may be served all original or other lawful process in any action at law or equity related to the above estate. The undersigned agrees that process served upon the agent herein appointed shall be of the same force and effect as if duly served upon the undersigned within the State of South Carolina. Agent Name: Address: Telephone (O):
(H):
E-mail:
Executed this
day of Signature:
Name:
Address:
Telephone (O):
(H):
E-mail:
, 20
.
ACCEPTANCE I accept the above appointment. Date: Signature: Witness:
FORM #121PC (9/87) SCPC administrative: SC Code 15-9-450