Free Acrobat - South Carolina

CIVIL CASE NUMBER STATE OF SOUTH CAROLINA COUNTY OF _____________________ ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) IN THE MAGISTRATE'S COURT

PLAINTIFF STREET ADDRESS CITY, STATE ZIP TELEPHONE VS. DEFENDANT(S) STREET ADDRESS CITY, STATE ZIP TELEPHONE

COMPLAINT

I, __________________________, the plaintiff in this civil action do make the following claims: 1. I believe the defendant, _____________________________, is a resident of __________________ County, and resides at _________________________________________ which is within Judge ___________________________'s magisterial jurisdiction or this Complaint is properly filed in ____________________ County. 2. I make this complaint on the following:

______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ (Attached supplement if necessary.) 3. I believe, because of the above information, that I am entitled to and do request a judgment for $_________ and/or other relief as below requested: ______________________________________________________________________________________ ______________________________________________________________________________________ including any costs resulting in this action. I state under penalty of perjury that the above is correct and truthful, except those based on my information and belief.

Dated:
SCCA/701 (Amended 05/08)

Signature of Plaintiff (or his attorney)