Affidavit - State Of South Carolina Family Court
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1STATE OF SOUTH CAROLINA
)
IN THE FAMILY COURT
)
____ JUDICIAL CIRCUIT
COUNTY OF _______________________
)
)
)
A JUVENILE
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AFFIDAVIT
)
)
)
)
A Child under Seventeen (17) Years of Age ) Docket No. ____________________________
PERSONALLY appeared before me, ___________________________________, who
first being duly sworn, deposes and says that _________________________________ violated the
terms of (
his/
her) probation (as ordered by the Family Court of ___________________________
County, S. C. on (
/
/
) in the following particulars, and based on the following
facts:_____________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________.
Sworn to and Subscribed before me
)
day of
,
)
)
)
Notary Public for South Carolina
)
Signature of Affiant
)
My Commission expires
)
SCCA 491 (12/2009)
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