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STATE OF SOUTH CAROLINA COUNTY OF

) ) ) ) ) ) ) ) )

IN THE MAGISTRATES COURT

PETITIONER(S) VS.

) ) ) RESPONDENT(S) ) The Petitioner alleges: 1.

PETITION AND MOTION FOR ACCESS TO CEMETERY, BURIAL GROUND, OR GRAVE (for use by Landowner)

CIVIL CASE NUMBER

Petitioner owns or occupies real property located at _______________________________, which is in ______________ County. The Petitioner is informed and believes that said property contains a cemetery, burial ground or grave. On ______________ ____, 20_____, Respondent made a written request to Petitioner (a copy of which is attached hereto) for reasonable access for the purpose of: visiting a grave(s) maintaining the gravesite or cemetery lawfully burying a deceased person in a cemetery or burial plot by those granted rights of burial to that plot conducting genealogy research. Petitioner responded to Respondent's request in writing by proposing the following schedule of access: _________________________________________________________________ __________________________________________________________________________ ___________________________________________________(a copy of which is attached)

2.

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4.

5. Respondent has failed to agree to Petitioner's proposed terms of access and as a result, Petitioner and Respondent are unable to resolve this matter without the intervention of the court. 6. Therefore, Petitioner requests that this Court issue injunctive relief pursuant to § 27-43-310 (C) (5) of the South Carolina Code of Laws, allowing Respondent access to the above stated premises subject to the following conditions ______________________________________ ___________________________________________________________________________. SCCA/682 10/2007

7. Petitioner requests the following additional relief from this Court: ______________________ ___________________________________________________________________________ ___________________________________________________________________________

SWORN to and Subscribed before me

) ) This ____ day of _______________, 20______. ) ) ) Notary Public for South Carolina ) Signature of Petitioner or Person Filing My Commission expires: ________________ ) e on Behalf of Petitioner

SCCA/682

10/2007