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STATE OF SOUTH CAROLINA In the matter of Arbitration between

Claimant(s) vs.

Defendant(s)

) ) ) ) ) ) ) ) ) ) ) ) ) ) )

BEFORE THE ARBITRATION PANEL OF ____________________ COUNTY

Case number ____-CP-____-______

SUMMONS FOR ARBITRATION (Claim Served Herewith)

TO THE DEFENDANT(S): _________________________________________________________ ________________________________________________________________________________; YOU ARE HEREBY SUMMONED and required to answer the Claim for Property Damage in this proceeding, a copy of which is herewith served upon you, and to file a response with the Clerk of Court for ______________ County within thirty (30) days from the date of service hereof, exclusive of the day of such service. If you fail to file such response within the aforesaid thirty (30) days, the claimant shall be entitled to a default judgment for the relief demanded in the Claim for Property Damage.

Attorney for Claimant(s):

Claimant(s):

Date: _____________________

SCCA/202(3/2005)