Free Microsoft Word - Document21 - South Carolina


File Size: 8.6 kB
Pages: 1
Date: May 12, 2008
File Format: PDF
State: South Carolina
Category: Court Forms - State
Author: WClark
Word Count: 133 Words, 2,013 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.judicial.state.sc.us/forms/pdf/SCCA735.pdf

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) ) STATE OF SOUTH CAROLINA ) ) COUNTY OF ____________________ ) ) _____________________________________ ) PLAINTIFF(S) ) ) VS. ) ) _____________________________________ ) DEFENDANT(S) )

__________________________ CIVIL CASE NUMBER IN THE MAGISTRATE'S COURT

AFFIDAVIT OF PLAINTIFF (Distraint)

I, ___________________________________ plaintiff in this action, state that I am the landlord-lessor of premises within the jurisdiction of Magistrate _________________________, which are described as (address and description of premises ­ apartment, house, etc.): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ I further state that, with regard to the above described premises, a landlord-tenant relationship exists between myself and the defendant, ________________________________, tenant-lesses, as evidenced by the following: (Attach lease papers or other written proof.) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ and that the defendant is delinquent in his rent payment, in the amount of $______________. (Describe in detail amounts due and on what dates.) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Sworn to before me this day of ) ) ) ) ) ) )

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Notary Public for South Carolina My Commission expires SCCA/735 (Amended 05/2008)

PLAINTIFF (or his attorney)