STATE OF SOUTH CAROLINA
) ) COUNTY OF ________________________ ) ) ) ) Plaintiff, ) vs. ) ) ) Defendant. )
IN THE FAMILY COURT _____ JUDICIAL CIRCUIT
AFFIDAVIT OF SERVICE BY MAILING (One Year Continuous Separation)
DOCKET NO. ___________________________
Personally appeared the Plaintiff who states that (s)he served the Defendant with a copy of the Family Court Coversheet, Certificate of Exemption*, Summons, Complaint for Divorce and Financial Declaration by certified mail, restricted delivery, return receipt requested (receipt attached) in the United States Mail, with proper postage attached, on _____________________, 20___ addressed as follows: ________________________________ ________________________________ ________________________________ ________________________________
Sworn to before me this ______ day of _______________, 20___ _________________________________ Notary Public of South Carolina My Commission expires: ____________ ________________________________ Plaintiff
SCCA 400.04 SRL-DIV (3/2009)