Free Microsoft Word - Document4 - South Carolina


File Size: 8.5 kB
Pages: 1
File Format: PDF
State: South Carolina
Category: Court Forms - State
Author: WClark
Word Count: 215 Words, 1,411 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.judicial.state.sc.us/forms/pdf/SCCA402.pdf

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STATE OF SOUTH CAROLINA, COUNTY OF

vs.

) ) ) ) ) ) Plaintiff(s) ) ) ) ) Defendant(s). )

IN THE

FAMILY COURT COURT OF COMMON PLEAS

MAGISTRATE COURT JUDICIAL CIRCUIT AFFIDAVIT OF SERVICE FILE NO:

PERSONALLY PREPARED BEFORE ME, the undersigned deponent, who being duly sworn says that (s)he served the
(Describe document(s) served)

in this action by delivery to
(Name of party served)

on

personally;
(Name of party served)

,
(Name of person served)

the
(Note relationship to party)

of the party served,

and a person of discretion residing at the residence of the party served; , the (Name of person served) and leaving with (him) (her) a copy at in (City or Town) on at of (Title) (Name of corporate party served) _____________________________________________ (Street address) County, South Carolina, County o'clock

that deponent knows the person so served, and that deponent is not a party of this action, is not less than eighteen (18) years of age and has no interest therein or connection therewith. Unable to locate and serve the above process on the defendant after diligent efforts to do so. The process is returned unexecuted. Sworn to and Subscribed before me this day of , 2 . ) ) ) ) ) ) )

Notary Public for South Carolina My Commission expires Entered in the Sheriff's Service Book on Book SCCA 402 (Revised 01/08)

Signature of Deponent

__________________________________ Page Number